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

Providence Health & Services Washington

Organization Clinical Pharmacology Physician · NPI 1720121346

Providence Health & Services Washington is a Clinical Pharmacology Physician in Tukwila, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
10

Practice location Address checks out

3333 S 120th Pl Ste 100B
Tukwila, WA 98168-5134
Phone: (425) 687-4400
Fax: (425) 687-4401
Show map & directions

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

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence CF00056548 (WA)
Clinical Pharmacology Physician Taxonomy 208U00000X
Pharmacy Taxonomy 333600000X
Clinic Pharmacy Taxonomy 3336C0002X
Community/Retail Pharmacy Taxonomy 3336C0003X
Compounding Pharmacy Taxonomy 3336C0004X
Home Infusion Therapy Pharmacy Taxonomy 3336H0001X
Long Term Care Pharmacy Taxonomy 3336L0003X
Managed Care Organization Pharmacy Taxonomy 3336M0003X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1720121346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Infusion And Pharmacy Services
NPI enumeratedFebruary 14, 2007
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing addressPo Box 24292, Seattle, WA 98124-0292

Other providers in Tukwila