Organization · Type 2 NPI

Providence Health & Services Washington

Rehabilitation Clinic/Center · Tumwater, WA

NPI number 1801989587 Active

Practice location

4833 Tumwater Valley Dr SE
Tumwater, WA 98501-4583

Call (360) 493-4160 Map

Mailing address

PO Box 3087
Portland, OR 97208-3087

Other practice locations

91 SW Chehalis Ave, Chehalis, WA 98532-1934 · (360) 330-8850

Specialties and licenses

Taxonomy	Code	License
Physical Therapist	225100000X	None listed
Physical Therapy Clinic/Center	261QP2000X	None listed
Rehabilitation Clinic/Center Primary	261QR0400X	None listed

Rehabilitation Clinic/Center: Definition to come...

9 other providers at this address

NPI record

NPI: 1801989587
Entity type: Organization (Type 2)
Issued: Oct 2, 2006
Last updated: May 16, 2025
Status: Active

Other names

<unavail>
Providence Physical Therapy · other name
Providence Physical Therapy · other name

Authorized official

Mr. 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.

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About NPI 1801989587

Providence Health & Services Washington's National Provider Identifier is 1801989587, issued on Oct 2, 2006. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Tumwater, WA. The record was last updated on May 16, 2025.