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

Providence Health & Services Washington

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1073744850

Providence Health & Services Washington is a Substance Use Disorder Rehabilitation Clinic/Center in Shelton, Washington. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2

Practice location Address checks out

2505 Olympic Hwy N Ste 140
Shelton, WA 98584-2978
Phone: (360) 432-8692
Fax: (360) 432-9902
Show map & directions

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

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X

Record details

NPI number1073744850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secreatry For Enrollment · (425) 358-9786
Other names Providence St Peter Hospital
NPI enumeratedJuly 28, 2009
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing addressPo Box 34439, Seattle, WA 98124-1439

Other providers in Shelton