NPI 1306086160
Providence Health & Services Mt
Practice location
- Address
- 601 W Spruce St STE C, Missoula, MT 59802-4057
- Phone
- (406) 327-1827
- Mailing address
- PO Box 34439, Seattle, WA 98124-1439
Authorised official
- Name
- Donald Wayne Anderson
- Title
- Assitant Secretary Enrollments
- Phone
- (425) 358-9786
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1306086160
- Entity type
- Organization
- NPI issued
- 5 Mar 2009
- Record last updated
- 5 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.