Organization · Type 2 NPI

Providence Health & Services Washington

Surgical Physician Assistant · Olympia, WA

NPI number 1851574750 Active

Practice location

413 Lilly Rd NE
Olympia, WA 98506-5133

Mailing address

PO Box 31001-4110
Pasadena, CA 91110-4110

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1851574750

Providence Health & Services Washington's National Provider Identifier is 1851574750, issued on Dec 13, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Olympia, WA. The record was last updated on May 15, 2025.