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

Providence Health & Services Washington

Organization Internal Medicine Physician · NPI 1225763949

Providence Health & Services Washington is an Internal Medicine Physician in Centralia, Washington. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

1010 S Scheuber Rd
Centralia, WA 98531-8892
Phone: (360) 827-7966
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1225763949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary For Enrollment · (425) 358-9786
Other names Pmg Sw Wa; Pmg Sw Wa; Centralia Internal Medicine
NPI enumeratedJuly 18, 2022
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

Other providers in Centralia