NPI 1023563897

Providence Health & Services Washington

Organisation General Practice Physician College Place, WA

Practice location

Address: 1705 SE Meadowbrook Blvd Suite 2, College Place, WA 99324-1756
Phone: (509) 987-2450
Mailing address: PO Box 32, Liberty Lake, WA 99019-0032

Authorised official

Name: Donald W Anderson
Title: Assistant Secretary of Enrollments
Phone: (425) 358-9786

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Washington →

Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Washington →

Registry record

NPI: 1023563897
Entity type: Organization
NPI issued: 22 Aug 2016
Record last updated: 6 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.