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

Providence Health & Services Washington

Organization Family Medicine Physician · NPI 1083968879

Providence Health & Services Washington is a Family Medicine Physician in Colville, Washington. Works from 3 locations. Registered with an NPI since 2012.

In the registry since
2012
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Practice location Address checks out

1200 E Columbia Ave
Colville, WA 99114-3354
Phone: (509) 474-2072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 100 W South Ave, Chewelah, WA 99109-9684 — (509) 684-3701
  • 143 Garden Homes Dr, Colville, WA 99114-9229 — (509) 684-3701

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1083968879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence North East Washington Medical Group; Providence North East Washington Medical Group
NPI enumeratedNovember 1, 2012
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

Other providers in Colville