Providence Health & Services -Washington

Practice location

Address

1915 E Rezanof Dr, Kodiak, AK 99615-6602

Phone

(907) 486-9550

Fax

(907) 486-9553

Mailing address

PO Box 3706, Portland, OR 97208-3706

Authorised official

Name

Donald Wayne Anderson

Title

Assistant Secretary of Enrollments

Phone

(425) 358-9786

Registered specialties (2)

Registry record

NPI

1083695324

Entity type

Organization

NPI issued

11 Nov 2005

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.