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

Providence Health & Services Washington

Organization Surgical Physician Assistant · NPI 1851574750

Providence Health & Services Washington is a Surgical Physician Assistant in Olympia, Washington. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone: (360) 491-9480
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1851574750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary For Enrollment · (425) 358-9786
NPI enumeratedDecember 13, 2007
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing addressPo Box 31001-4110, Pasadena, CA 91110-4110

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