NPI 1073677605

Providence Health & Services - Washington

Organisation Substance Use Disorder Rehabilitation Hospital Unit Shelton, WA

Practice location

Address: 506 W Franklin St, Shelton, WA 98584-3517
Phone: (360) 432-8692
Mailing address: 909 N Broadway Pbo/Credentialing, 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: 1073677605
Entity type: Organization
NPI issued: 20 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.