Organization · Type 2 NPI

Providence Health & Services - Washington

Specialist · Centralia, WA

NPI number 1457460180 Active

Practice location

1000 S Scheuber Rd
Centralia, WA 98531-8877

Fax (360) 330-8955

Mailing address

909 N Broadway, Pbo/credentialing
Everett, WA 98201-1409

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

12 other providers at this address

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About NPI 1457460180

Providence Health & Services - Washington's National Provider Identifier is 1457460180, issued on Aug 29, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Centralia, WA. The record was last updated on Oct 9, 2008.