Organization · Type 2 NPI

Providence Health & Services - Oregon

Durable Medical Equipment & Medical Supplies · Lacey, WA

NPI number 1285201798 Active

Practice location

8605 Commerce Place Dr NE Ste A
Lacey, WA 98516-3813

Call (503) 215-4333 Map

Mailing address

PO Box 5936A
Portland, OR 97228-5936

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed
Oxygen Equipment & Supplies (DME)	332BX2000X	None listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Other durable medical equipment & medical supplies providers in Lacey

See all in Lacey →

NPI record

NPI: 1285201798
Entity type: Organization (Type 2)
Issued: Jun 4, 2021
Last updated: May 15, 2025
Status: Active
Subpart: Yes of Providence Health & Services - Oregon

Other names

<unavail>
Prov Health Sys-Or Shared-Svs Div · doing business as
Providence Home Medical Equipment · doing business as
Providence Home Medical Equipment · doing business as

Authorized official

Donald Wayne Anderson
Assistant Secretary of Enrollments
(425) 358-9786

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1285201798

Providence Health & Services - Oregon's National Provider Identifier is 1285201798, issued on Jun 4, 2021. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Lacey, WA. The record was last updated on May 15, 2025.