NPI 1073744850

Providence Health & Services Washington

Organisation Substance Use Disorder Rehabilitation Clinic/Center Shelton, WA

Practice location

Address: 2505 Olympic Hwy N. STE 140, Shelton, WA 98584-2978
Phone: (360) 432-8692
Fax: (360) 432-9902
Mailing address: PO Box 34439, Seattle, WA 98124-1439

Authorised official

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

Registered specialties (2)

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X

Other Clinic/Center providers in Washington →

Substance Use Disorder Rehabilitation Hospital Unit

Hospital Units Taxonomy 276400000X

Other Rehabilitation, Substance Use Disorder Unit providers in Washington →

Registry record

NPI: 1073744850
Entity type: Organization
NPI issued: 28 Jul 2009
Record last updated: 15 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.