NPI 1467462952

Providence Health & Services - Washington

Organisation Substance Use Disorder Rehabilitation Hospital Unit Lacey, WA

Practice location

Address: 4800 College St SE, Lacey, WA 98503-4389
Phone: (360) 456-7575
Fax: (360) 493-5088
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: 1467462952
Entity type: Organization
NPI issued: 8 Aug 2006
Record last updated: 25 Jul 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.