| Providence Health & Services - Washington | |
|
19200 N Kelsey St Monroe WA 98272-1431 | |
| (360) 794-9101 | |
| (360) 794-4759 |
| Full Name | Providence Health & Services - Washington |
|---|---|
| Speciality | Internal Medicine |
| Location | 19200 N Kelsey St, Monroe, Washington |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY OF ENROLLMENTS) |
| Authorized Official Contact | 4253589786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Health & Services - Washington Po Box 31001-4114 Pasadena CA 91110-4114 Ph: (425) 358-9786 | Providence Health & Services - Washington 19200 N Kelsey St Monroe WA 98272-1431 Ph: (360) 794-9101 |
| NPI Number | 1770734881 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 05/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770734881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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