Organization · Type 2 NPI

Providence Health & Services-Wa

Obstetrics & Gynecology Physician · Monroe, WA

NPI number 1447547658 Active

Practice location

14692 179th Ave SE, Ste 800
Monroe, WA 98272-1162

Call (425) 258-7550 Map

Fax (425) 258-7450

Mailing address

PO Box 3360
Portland, OR 97208-3360

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	None listed
Obstetrics & Gynecology Physician Primary	207V00000X	None listed
Women's Health Nurse Practitioner	363LW0102X	None listed
Advanced Practice Midwife	367A00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

12 other providers at this address

NPI record

NPI: 1447547658
Entity type: Organization (Type 2)
Issued: Jul 8, 2011
Last updated: Aug 7, 2025
Status: Active

Other names

<unavail>
PMG NW Wa Monroe Ob/gyn · doing business as
PMG NW Wa Monroe Ob/gyn · doing business as

Authorized official

Mr. Donald W Anderson
Dir Reimb Reg Strat/asst Sec Enroll
(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.

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About NPI 1447547658

Providence Health & Services-Wa's National Provider Identifier is 1447547658, issued on Jul 8, 2011. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Monroe, WA. The record was last updated on Aug 7, 2025.