Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice | |
Hospice and Palliative Medicine |
207QH0002X | 08 | Physician/Family Practice |
| NPI Number | 1992743561 |
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| LBN Legal business name | PROVIDENCE HEALTH & SERVICES - WASHINGTON | ||||||||
| Authorized official | DONALD ANDERSON - (ASSISTANT SECRETARY OF ENROLLMENTS) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/03/2006 | ||||||||
| Last updated | 05/15/2025 - More than a year ago | ||||||||
| Identifiers |
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