institution
Providence Health & Service - Washington
Mammography Radiologic Technologist in Centralia, Washington
NPI 1811942758

Providence Health & Service - Washington is a Mammography Radiologic Technologist based in Seattle, WA and is specialized in Mammography. Providence Health & Service - Washington practices in Centralia, WA. The NPI Number for Providence Health & Service - Washington is 1811942758 and holds a License No. (Washington).

The current practice location address for Providence Health & Service - Washington is 908 S Scheuber Rd, Centralia, WA and can be reached out via phone at 360-330-8880 and via fax at 360-330-8812. You can also correspond with Providence Health & Service - Washington through the mailing address at PO BOX 34439, SEATTLE, WA - 98124-1439 (mailing address contact number: 425-525-6778).

Location: 908 S Scheuber Rd, Centralia, WA, 98124-1439
institution
Provider Profile Details
NPI Number
1811942758
Provider Name
Providence Health & Service - Washington
Credential
Provider Entity Type
Organization
Address
908 S Scheuber Rd, Centralia, WA, 98124-1439
Phone Number
360-330-8880
Fax Number
360-330-8812
Provider Enumeration Date
05/22/2006
Last Update Date
03/12/2024
tick
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
360-330-8812
person
Provider Business Mailing Address Details
Address
Po Box 34439
City
State
Zip
98124-1439
Phone Number
425-525-6778
Fax Number
425-525-6700
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Bone Densitometry
Taxonomy
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Mammography
Taxonomy
License No.
()
Definition
Definition to come...