| NPI | 1174744304 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP SOUTHWEST WASHINGTON |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Of Enrollments 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 207N00000X Dermatology | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208D00000X General Practice | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-08-20 |