OrganizationActive
Providence Health & Services - Washington
NPI 1992411029 · Hospice and Palliative Medicine (Family Medicine) Physician · Tukwila, WA
Provider details
- NPI number
- 1992411029
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Donald Anderson, Asst. Secretary Enrollments
Practice location
2811 S 102nd St Ste 220
Tukwila, WA 98168-1869
Phone: (206) 320-4000
Mailing address
Po Box 94511
Seattle, WA 98124-6811
Registry dates
- Enumerated
- 2023-01-23
- Last updated
- 2025-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.