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

Providence Health & Services-Washington

Organization Pediatrics Physician · NPI 1265683650

Providence Health & Services-Washington is a Pediatrics Physician in Monroe, Washington. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2

Practice location Address checks out

19200 N Kelsey St
Monroe, WA 98272-1431
Phone: (360) 794-7994
Fax: (360) 805-4757
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1265683650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Pmg Nw Wa Monroe Pediatrics; Providence Physician Group
NPI enumeratedOctober 4, 2008
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

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