PROVIDENCE HEALTH & SERVICES - WASHINGTON

CENTRALIA, WA
NPI1528267804
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Enrollment
425-358-9786
Organization Subpart ?No
Primary Taxonomy261QR0206X Clinic/Center Radiology, Mammography
(Licence: WA  602399531)
Enumeration Date2007-07-16
Last Update Date2025-05-16
Business Address
PROVIDENCE HEALTH & SERVICES - WASHINGTON
908 S SCHEUBER RD
CENTRALIA, WA 98531-9027
Phone number: 360-330-8880
Mailing Address
PROVIDENCE HEALTH & SERVICES - WASHINGTON
909 N BROADWAY PBO/CREDENTIALING
EVERETT, WA 98201-1409
Phone number: 425-317-0246