NPI 1982708699
Providence Health & Services - Washington
Practice location
- Address
- 1915 E Rezanof Dr, Kodiak, AK 99615-6602
- Phone
- (907) 486-3281
- Fax
- (907) 486-9546
- Mailing address
- PO Box 3706, Portland, OR 97208-3706
Authorised official
- Name
- Donald W Anderson
- Title
- Assistant Secretary of Enrollments
- Phone
- (425) 358-9786
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1982708699
- Entity type
- Organization
- NPI issued
- 12 Sep 2006
- Record last updated
- 13 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.