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

Providence Health & Services - Washington

Organization Psychiatry Physician · NPI 1407945389

Providence Health & Services - Washington is a Psychiatry Physician in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2006.

Licensed in
AK
In the registry since
2006
Specialties on file
6
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Practice location Address checks out

3760 Piper St Ste LL 139
Anchorage, AK 99508-4665
Phone: (907) 563-5006
Fax: (907) 563-3217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence NOT NUMBERED (AK)
Psychiatry Physician Taxonomy 2084P0800X
Addiction Psychiatry Physician Taxonomy 2084P0802X
Community/Behavioral Health Agency Taxonomy 251S00000X
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X · Licence 512146 (AK)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1407945389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Crisis Recovery Center; Providence Crisis Recovery Center
NPI enumeratedOctober 11, 2006
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 4105, Portland, OR 97208-4105

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