Providence Health & Services Washington
Providence Health & Services Washington is a Clinic/Center in Lacey, Washington. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
4800 College St SELacey, WA 98503-4389
Phone: (360) 493-7567
Fax: (360) 412-6468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1215431697 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786 |
| Other names | Providence Medical Group Sw Wa - Mdpp; Providence Medical Group Sw Wa - Mdpp |
| NPI enumerated | March 21, 2018 |
| Last updated in NPPES | May 12, 2025 |
| Certification date | May 12, 2025 |
| Mailing address | Po Box 31001-4114, Pasadena, CA 91110-4114 |
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