NPI 1891414785

Providence Health & Services - Washington

Organisation PACE Provider Organization Renton, WA

Practice location

Address: 1801 Lind Ave SW STE W2-17, Renton, WA 98057-3368
Phone: (206) 320-5325

Authorised official

Name: Donald W Anderson
Title: Assistant Secretary Enrollment
Phone: (425) 358-9786

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Washington →

Registry record

NPI: 1891414785
Entity type: Organization
NPI issued: 24 Aug 2022
Record last updated: 16 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.