Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services Washington

Organization General Practice Physician · NPI 1023563897

Providence Health & Services Washington is a General Practice Physician in College Place, Washington. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

1705 SE Meadowbrook Blvd Ste 2
College Place, WA 99324-1756
Phone: (509) 987-2450
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1023563897
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Health & Services Washington (Pmg Se Wa) - Express Care
NPI enumeratedAugust 22, 2016
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing addressPo Box 32, Liberty Lake, WA 99019-0032