OrganizationActive
Providence Health & Services Washington
NPI 1497110571 · Hospice and Palliative Medicine (Internal Medicine) Physician · Olympia, WA
Provider details
- NPI number
- 1497110571
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary for Enrollment(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
525 Lilly Rd Ne
Olympia, WA 98506-5101
Phone: (360) 486-6402
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 31001-4110
Pasadena, CA 91110-4110
Registry dates
- Enumerated
- 2015-12-16
- 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.