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

Providence Health & Services Washington

Organization Hospice and Palliative Medicine (Internal Medicine) Physician · NPI 1497110571

Providence Health & Services Washington is a Hospice and Palliative Medicine (Internal Medicine) Physician in Olympia, Washington. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

525 Lilly Rd NE
Olympia, WA 98506-5101
Phone: (360) 486-6402
Show map & directions

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

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1497110571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary For Enrollment · (425) 358-9786
NPI enumeratedDecember 16, 2015
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing addressPo Box 31001-4110, Pasadena, CA 91110-4110

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