Organization · NPI-2
Providence Health & Services - Washington
Family Medicine · Rochester, WA
NPI number1841503034
StatusActive
Last updated in NPPESMay 13, 2025
Details
- NPI
- 1841503034
- Entity type
- Organization (NPI-2)
- Legal business name
- Providence Health & Services - Washington
- Organization subpart
- No
- Enumeration date
- Jul 16, 2010
- Certification date
- May 13, 2025
- Last updated
- May 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Providence Rochester Family Medicine (Ffs) (Other Name)
Practice location
18313 Paulsonst SwSuite A
Rochester, WA 98579-9262
Phone 360-273-8818
Mailing address
Po Box 34439Seattle, WA 98124-1439
Phone 425-525-6715
Authorized official
Donald Wayne Anderson
Assistant Secreatry For Enrollment
4253589786
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