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Providence Health & Services Washington
Diagnostic Radiology Physician in Lacey, Washington
NPI 1003367863

Providence Health & Services Washington is a Diagnostic Radiology Physician based in Portland, WA and is specialized in Diagnostic Radiology. Providence Health & Services Washington practices in Lacey, WA. The NPI Number for Providence Health & Services Washington is 1003367863 and holds a License No. (Washington).

The current practice location address for Providence Health & Services Washington is 4800 College St Se Ste E, Lacey, WA and can be reached out via phone at 360-489-2960 and via fax at 360-489-2961.

Location: 4800 College St Se Ste E, Lacey, WA, 97208-3505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003367863
Provider Name
Providence Health & Services Washington
Credential
Provider Entity Type
Organization
Address
4800 College St Se Ste E, Lacey, WA, 97208-3505
Phone Number
360-489-2960
Fax Number
360-489-2961
Provider Enumeration Date
10/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4800 College St Se Ste E
City
Lacey
State
Washington
Zip
98503-4389
Phone Number
360-489-2960
Fax Number
360-489-2961
person
Provider Business Mailing Address Details
Address
4800 College St Se Ste E
City
Lacey
State
Washington
Zip
98503-4389
Phone Number
360-489-2960
Fax Number
360-489-2961
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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