Organization · Type 2 NPI

Providence Health & Services-Washington

Community/Behavioral Health Agency · Anchorage, AK

NPI number 1841814795 Active

Practice location

3200 Providence Dr
Anchorage, AK 99508-4615

Call (907) 212-6002 Map

Fax (907) 212-8340

Mailing address

PO Box 4105
Portland, OR 97208-4105

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist	103TC0700X	None listed
Clinical Social Worker	1041C0700X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

173 other providers at this address

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NPI record

NPI: 1841814795
Entity type: Organization (Type 2)
Issued: Jun 5, 2020
Last updated: Jul 10, 2025
Status: Active

Other names

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Providence Medical Group Alaska · doing business as
Providence Medical Group Alaska · 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.

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About NPI 1841814795

Providence Health & Services-Washington's National Provider Identifier is 1841814795, issued on Jun 5, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Anchorage, AK. The record was last updated on Jul 10, 2025.