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 (Family Medicine) Physician · NPI 1528719184

Providence Health & Services - Washington is a Hospice and Palliative Medicine (Family Medicine) Physician in Seattle, Washington. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2811 S 102nd St Ste 220
Seattle, WA 98168-1869
Phone: (206) 320-4000
Fax: (206) 320-2280
Show map & directions

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

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X

Record details

NPI number1528719184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786
NPI enumeratedJanuary 15, 2022
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing addressPo Box 94511, Seattle, WA 98124-6811

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