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Providence Health & Services - Washington
Specialist in Centralia, Washington
NPI 1457460180

Providence Health & Services - Washington is a Specialist based in Everett, WA. Providence Health & Services - Washington practices in Centralia, WA. The NPI Number for Providence Health & Services - Washington is 1457460180 and holds a License No. (Washington).

The current practice location address for Providence Health & Services - Washington is 1000 S Scheuber Rd, Centralia, WA and can be reached out via phone at 360-330-8950 and via fax at 360-330-8955.

Location: 1000 S Scheuber Rd, Centralia, WA, 98201-1409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457460180
Provider Name
Providence Health & Services - Washington
Credential
Provider Entity Type
Organization
Address
1000 S Scheuber Rd, Centralia, WA, 98201-1409
Phone Number
360-330-8950
Fax Number
360-330-8955
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AB23193 01 WA MEDICARE GROUP
7107089 05 WA
institution
Provider Business Practice Location Address Details
Address
1000 S Scheuber Rd
City
Centralia
State
Washington
Zip
98531-8877
Phone Number
360-330-8950
Fax Number
360-330-8955
person
Provider Business Mailing Address Details
Address
1000 S Scheuber Rd
City
Centralia
State
Washington
Zip
98531-8877
Phone Number
360-330-8950
Fax Number
360-330-8955
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.
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