| Providence Health & Services - Washington | |
|
18313 Paulsonst Sw Suite A Rochester WA 98579-9262 | |
| (360) 273-8818 | |
| Not Available |
| Full Name | Providence Health & Services - Washington |
|---|---|
| Speciality | Family Medicine |
| Location | 18313 Paulsonst Sw, Rochester, Washington |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECREATRY FOR ENROLLMENT) |
| 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 34439 Seattle WA 98124-1439 Ph: (425) 525-6715 | Providence Health & Services - Washington 18313 Paulsonst Sw Suite A Rochester WA 98579-9262 Ph: (360) 273-8818 |
| NPI Number | 1841503034 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 05/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841503034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |