Providence Health & Services Washington
Providence Health & Services Washington is a Clinic/Center in Lacey, Washington. Licensed in Washington. Registered with an NPI since 2007.
- Licensed in
- WA
- In the registry since
- 2007
Practice location Address checks out
420 Golf Club Rd SE Ste 203Lacey, WA 98503-1048
Phone: (360) 493-7469
Fax: (360) 459-2023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence H-159 (WA) |
|---|
Record details
| NPI number | 1063611408 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary For Enrollment · (425) 358-9786 |
| NPI enumerated | July 16, 2007 |
| Last updated in NPPES | July 25, 2025 |
| Certification date | July 25, 2025 |
| Mailing address | Po Box 31001-4110, Pasadena, CA 91110-4110 |
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