NPI 1881681518

Providence Health & Services - Washington

Organisation Exclusive Provider Organization Seattle, WA

Practice location

Address: 4515 Martin Luther King Jr Way S Suite 100, Seattle, WA 98108-2182
Phone: (206) 320-5325
Fax: (206) 760-6339
Mailing address: 2001 Lind Ave SW Suite 160, Renton, WA 98057-3303

Authorised official

Name: Ellen Garcia
Title: Executive Director
Phone: (206) 320-5325

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Washington →

Registry record

NPI: 1881681518
Entity type: Organization
NPI issued: 27 Sep 2005
Record last updated: 29 Sep 2008

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.