NPI 1043374119

Providence Health & Services - Washington

Organisation Substance Use Disorder Rehabilitation Hospital Unit Hoquiam, WA

Practice location

Address: 508 Quarter Eighth Street, Hoquiam, WA 98550
Phone: (360) 533-8813
Mailing address: 909 N Broadway Pbo/Credentailing, Everett, WA 98201-1409

Authorised official

Name: Donald Wayne Anderson
Title: Assistant Secreatry for Enrollment
Phone: (425) 358-9786

Registered specialties

Substance Use Disorder Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 276400000X

Other Rehabilitation, Substance Use Disorder Unit providers in Washington →

Registry record

NPI: 1043374119
Entity type: Organization
NPI issued: 21 Dec 2006
Record last updated: 13 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.