| Providence Medical Group Southwest Washington | |
|
1018 Capitol Way S Ste 300 Olympia WA 98501-1212 | |
| (360) 486-6508 | |
| (360) 570-2077 |
| Full Name | Providence Medical Group Southwest Washington |
|---|---|
| Speciality | General Practice |
| Location | 1018 Capitol Way S Ste 300, Olympia, Washington |
| Authorized Official Name and Position | Donald W Anderson (ASST SEC FOR ENROLLMENT / DIR REIMB) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Medical Group Southwest Washington Po Box 3360 Portland OR 97208-3360 Ph: (360) 486-6508 | Providence Medical Group Southwest Washington 1018 Capitol Way S Ste 300 Olympia WA 98501-1212 Ph: (360) 486-6508 |
| NPI Number | 1134656135 |
|---|---|
| Provider Enumeration Date | 05/22/2017 |
| Last Update Date | 11/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134656135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Nisqually Tribe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4816 She Nah Num Dr Se, Olympia, WA 98513 Phone: 360-459-5312 Fax: 360-407-0860 | |
Olympia Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3622a Ensign Rd Ne, Olympia, WA 98506 Phone: 360-459-7282 | |
Providence St Peter Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 413 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-491-9480 | |
Northwest Vision Center, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Cooper Point Rd Sw, Suite 110, Olympia, WA 98502 Phone: 360-489-0493 Fax: 360-943-9424 | |
Lacambra Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7205 Martin Way E, Suite A-69, Olympia, WA 98516 Phone: 206-403-7410 | |
Daniel T. Dugaw,d.o., P.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Black Hills Ln Sw, Suite E, Olympia, WA 98502 Phone: 360-352-8781 Fax: 360-352-8837 | |
Olympia Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7010 Fax: 360-923-7089 |