PROVIDENCE HEALTH & SERVICES - WASHINGTON

WALLA WALLA, WA
NPI1326569682
Other NamePROVIDENCE MEDICAL GROUP SOUTHEAST WASHINGTON
Entity TypeOrganization
Authorized ContactDONALD ANDERSON
Asst Corp Secretary For Enrollments
425-525-5392
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies207R00000X Internal Medicine
207X00000X Orthopaedic Surgery
208600000X Surgery
Enumeration Date2017-06-27
Last Update Date2017-06-27
Business Address
PROVIDENCE HEALTH & SERVICES - WASHINGTON
380 CHASE AVE
WALLA WALLA, WA 99362-2924
Phone number: 509-526-3333
Mailing Address
PROVIDENCE HEALTH & SERVICES - WASHINGTON
PO BOX 32
LIBERTY LAKE, WA 99019-0032
Phone number: