PROVIDENCE HEALTH & SERVICES WASHINGTON; NPI #1457721250

Contact Information

PROVIDENCE HEALTH & SERVICES WASHINGTON

1200 BASICH BLVD
ABERDEEN, WA 98520-1035

Phone: 360-537-8801
Fax: 360-537-8782
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oncology, Radiation	261QX0203X

Indicates primary specialty

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NPI Profile & details for PROVIDENCE HEALTH & SERVICES WASHINGTON

NPI Number	`1457721250`
LBN Legal business name	PROVIDENCE HEALTH & SERVICES WASHINGTON
Authorized official	DONALD ANDERSON - (ASSISTANT SECRETARY FOR ENROLLMENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/06/2015
Last updated	05/05/2025 - More than a year ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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