institution
Providence Health & Services - Washington
Mammography Clinic/Center in Centralia, Washington
NPI 1528267804

Providence Health & Services - Washington is a Mammography Clinic/Center based in Everett, WA and is specialized in Radiology, Mammography. Providence Health & Services - Washington practices in Centralia, WA. The NPI Number for Providence Health & Services - Washington is 1528267804 and holds a License No. 602399531 (Washington).

The current practice location address for Providence Health & Services - Washington is 908 S Scheuber Rd, Centralia, WA and can be reached out via phone at 360-330-8880.

Location: 908 S Scheuber Rd, Centralia, WA, 98201-1409
institution
Provider Profile Details
NPI Number
1528267804
Provider Name
Providence Health & Services - Washington
Credential
Provider Entity Type
Organization
Address
908 S Scheuber Rd, Centralia, WA, 98201-1409
Phone Number
360-330-8880
Fax Number
Provider Enumeration Date
07/16/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
7124043 05 WA
institution
Provider Business Practice Location Address Details
Address
908 S Scheuber Rd
City
State
Zip
98531-9027
Phone Number
360-330-8880
Fax Number
person
Provider Business Mailing Address Details
Address
908 S Scheuber Rd
City
State
Zip
98531-9027
Phone Number
360-330-8880
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mammography
Taxonomy
License No.
602399531 (Washington)
Definition
Definition to come...
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