Organization · Type 2 NPI

Providence Health & Services Washington

Family Medicine Physician · Olympia, WA

NPI number 1174744304 Active

Practice location

525 Lilly Rd NE
Olympia, WA 98506

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-4114

Other practice locations

  • 1018 Capitol Way S, Suite 300, Olympia, WA 98501-1212 · (360) 486-6508

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Dermatology Physician 207N00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed
Adult Medicine Physician 207QA0505XNone listed
Geriatric Medicine (Family Medicine) Physician 207QG0300XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
General Practice Physician 208D00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

103 other providers at this address

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About NPI 1174744304

Providence Health & Services Washington's National Provider Identifier is 1174744304, issued on May 2, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Olympia, WA. The record was last updated on May 12, 2025.