PROVIDENCE HEALTH & SERVICES WASHINGTON

Clinic/Center

Active Organization
NPI: 1063611408

Practice Address

420 GOLF CLUB RD SE
SUITE 203
Lacey, WA 98503

Phone: (360) 493-7469

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X Yes H-159 (WA)

Frequently Asked Questions

NPI 1063611408 is the National Provider Identifier for PROVIDENCE HEALTH & SERVICES WASHINGTON, a Clinic/Center provider located in Lacey, WA. This NPI was enumerated on July 16, 2007.

Quick Facts

NPI
1063611408
Type
Organization
Enumerated
Jul 16, 2007
Last Updated
Jul 25, 2025

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