PROVIDENCE HEALTH & SERVICES - WA

MONROE, WA
NPI1922259027
Doing Business AsPMG NW WA MONROE URGENT CARE
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Director Reimb Regulatory Strategy
425-525-5392
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
207R00000X Internal Medicine
208000000X Pediatrics
208D00000X General Practice
Enumeration Date2008-10-07
Last Update Date2021-03-01
Business Address
PROVIDENCE HEALTH & SERVICES - WA
19200 N KELSEY ST
MONROE, WA 98272-1431
Phone number: 360-805-4790
Mailing Address
PROVIDENCE HEALTH & SERVICES - WA
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number: 866-366-2983