Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Rehabilitation, Substance Use Disorder Unit |
276400000X |
| NPI # | 1770714693 |
| LBN Legal business name | PROVIDENCE HEALTH & SERVICES WASHINGTON |
| Authorized official | DONALD ANDERSON - (ASSISTANT SECREATRY FOR ENROLLMENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/28/2009 |
| Last updated | 05/15/2025 - More than a year ago |
| Identifiers | n/a |
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PROVIDENCE HEALTH & SERVICES WASHINGTON
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| PROVIDENCE HEALTH & SERVICES - WASHINGTON 508 QUARTER EIGHTH STREET HOQUIAM, WA |
| CITY OF ABERDEEN 210 E MARKET ST ABERDEEN, WA |
| SHOALWATER BAY INDIAN TRIBE 2373 OLD TOKELAND RD TOKELAND, WA |
| SHOALWATER BAY TRIBE 2373 OLD TOKELAND RD TOKELAND, WA |
| GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1 579 E MAIN ST ELMA, WA |
| QUINAULT INDIAN NATION 1505 KLA-OOK-WA DRIVE TAHOLAH, WA |
| SQUAXIN ISLAND TRIBE 90 SE KLAH CHE MIN DRIVE SHELTON, WA |
| ACCESSIBLE LIVING PHYSICAL THERAPY 2212 DUBLIN DRIVE NW OLYMPIA, WA |
| ADVANCED PAIN CARE PS 205 LILLY RD NE BLDG B OLYMPIA, WA |
| FIRST THINGS FIRST 123 LLC 1905 4TH AVE SUITE B OLYMPIA, WA |