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Providence Health & Services- Washington
Rural Health Clinic/Center in Rochester, Washington
NPI 1205931508

Providence Health & Services- Washington is a Rural Health Clinic/Center based in Portland, WA and is specialized in Rural Health. Providence Health & Services- Washington practices in Rochester, WA. The NPI Number for Providence Health & Services- Washington is 1205931508 and holds a License No. (Washington).

The current practice location address for Providence Health & Services- Washington is 18313 Paulson St Sw, Rochester, WA and can be reached out via phone at 360-827-8400 and via fax at 360-273-7301.

Location: 18313 Paulson St Sw, Rochester, WA, 97208-3360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205931508
Provider Name
Providence Health & Services- Washington
Credential
Provider Entity Type
Organization
Address
18313 Paulson St Sw, Rochester, WA, 97208-3360
Phone Number
360-827-8400
Fax Number
360-273-7301
Provider Enumeration Date
09/13/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7088495 01 WA RURAL MEDICAID
GAB19139 01 WA MEDICARE B
DA4754 01 WA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
18313 Paulson St Sw
City
Rochester
State
Washington
Zip
98579-9262
Phone Number
360-827-8400
Fax Number
360-273-7301
person
Provider Business Mailing Address Details
Address
18313 Paulson St Sw
City
Rochester
State
Washington
Zip
98579-9262
Phone Number
360-827-8400
Fax Number
360-273-7301
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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