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

Providence Health & Services - Washington

Organization Internal Medicine Physician · NPI 1770734881

Providence Health & Services - Washington is an Internal Medicine Physician in Monroe, Washington. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2

Practice location Address checks out

19200 N Kelsey St
Monroe, WA 98272-1431
Phone: (360) 794-9101
Fax: (360) 794-4759
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1770734881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Pmg Nw Wa Monroe Internal Medicine; Pmg Nw Wa Monroe Internal Medicine
NPI enumeratedOctober 7, 2008
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

Other providers in Monroe