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 1134656135

Providence Health & Services Washington is a General Practice Physician in Olympia, Washington. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

1018 Capitol Way S Ste 300
Olympia, WA 98501-1212
Phone: (360) 486-6508
Fax: (360) 570-2077
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 number1134656135
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Medical Group Southwest Washington
NPI enumeratedMay 22, 2017
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

Other providers in Olympia