Organization · Type 2 NPI
Providence Health & Services - Washington
Mammography Clinic/Center · Centralia, WA
NPI number
1528267804
Active
Practice location
908 S Scheuber Rd
Centralia, WA 98531-9027
Mailing address
909 N Broadway, Pbo/credentialing
Everett, WA 98201-1409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mammography Clinic/Center Primary | 261QR0206X | 602399531 (WA) |
Mammography Clinic/Center: Definition to come...
About NPI 1528267804
Providence Health & Services - Washington's National Provider Identifier is 1528267804, issued on Jul 16, 2007. The primary taxonomy on file is Mammography Clinic/Center (261QR0206X), and the practice location is in Centralia, WA. The record was last updated on May 16, 2025.