institution
Providence Health & Services Washington
Surgical Physician Assistant in Olympia, Washington
NPI 1851574750

Providence Health & Services Washington is a Surgical Physician Assistant based in Portland, WA and is specialized in Surgical. Providence Health & Services Washington practices in Olympia, WA. The NPI Number for Providence Health & Services Washington is 1851574750 and holds a License No. (Washington).

The current practice location address for Providence Health & Services Washington is 413 Lilly Rd Ne, Olympia, WA and can be reached out via phone at 360-491-9480.

Location: 413 Lilly Rd Ne, Olympia, WA, 97208-3505
institution
Provider Profile Details
NPI Number
1851574750
Provider Name
Providence Health & Services Washington
Credential
Provider Entity Type
Organization
Address
413 Lilly Rd Ne, Olympia, WA, 97208-3505
Phone Number
360-491-9480
Fax Number
Provider Enumeration Date
12/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7135932 05 WA
8901337 01 WA L&I CRIME VICTIMS
129210 01 WA L&I
institution
Provider Business Practice Location Address Details
Address
413 Lilly Rd Ne
City
State
Zip
98506-5133
Phone Number
360-491-9480
Fax Number
person
Provider Business Mailing Address Details
Address
413 Lilly Rd Ne
City
State
Zip
98506-5133
Phone Number
360-491-9480
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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