OrganizationActive
Providence Health & Services Washington
NPI 1073744850 · Substance Use Disorder Rehabilitation Clinic/Center · Shelton, WA
Provider details
- NPI number
- 1073744850
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secreatry for Enrollment(425) 358-9786
Specialties & taxonomies
Ambulatory Health Care Facilities
Hospital Units
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2505 Olympic Hwy N.
Ste 140
Shelton, WA 98584-2978
Phone: (360) 432-8692
Fax: (360) 432-9902
Street-level locationGet directions
Mailing address
Po Box 34439
Seattle, WA 98124-1439
Other names (DBA / former)
- Doing business as
- Providence St Peter Hospital
Registry dates
- Enumerated
- 2009-07-28
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.