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

Providence Health & Services Washington

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1689805509

Providence Health & Services Washington is a Substance Use Disorder Rehabilitation Clinic/Center in Lacey, Washington. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2

Practice location Address checks out

4800 College St SE
Lacey, WA 98503-4389
Phone: (360) 456-7575
Fax: (360) 493-5088
Show map & directions

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

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Substance Use Disorder Rehabilitation Hospital Unit Taxonomy 276400000X

Record details

NPI number1689805509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary For Enrollment · (425) 358-9786
NPI enumeratedJuly 28, 2009
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing addressPo Box 31001-4110, Pasadena, CA 91110-4110

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