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1164673554
PROVIDENCE HEALTH & SERVICES-WA
EVERETT, WA
NPI
1164673554
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Entity Type
Organization
Authorized Contact
DONALD WAYNE ANDERSON
Asst Secretary Enrollment
425-525-5392
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2008-10-04
Last Update Date
2018-01-11
Business Address
PROVIDENCE HEALTH & SERVICES-WA
1509 CALIFORNIA ST
EVERETT, WA 98201-3540
Phone number: 425-297-5770
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Mailing Address
PROVIDENCE HEALTH & SERVICES-WA
PO BOX 3369
PORTLAND, OR 97208-3369
Phone number:
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