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

Providence Health & Services - Washington

Organization Family Medicine Physician · NPI 1922259027

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

In the registry since
2008
Specialties on file
5

Practice location Address checks out

19200 N Kelsey St
Monroe, WA 98272-1431
Phone: (360) 805-4790
Fax: (360) 805-4791
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
General Practice Physician Taxonomy 208D00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1922259027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Pmg Nw Wa Monroe Walk In Clinic
NPI enumeratedOctober 7, 2008
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

Other providers in Monroe