1477563344 PROVIDENCE HEALTH & SERVICES WASHINGTON
Community/Behavioral Health Agency
Active
Basic Information
- Organization Name
- PROVIDENCE HEALTH & SERVICES WASHINGTON
- Enumeration Date
- August 9, 2006
- Last Update
- May 15, 2025
- Authorized Official
- MR. DONALD WAYNE ANDERSON JR.
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786
Practice Location
- Address
- 1818 E REZANOF DR
KODIAK, AK 996156505 - Phone
- (907) 481-2400
- Fax
- (907) 481-2419
Mailing Address
- Address
- PO BOX 3290
PORTLAND, OR 972083290 - Phone
- (907) 486-9500
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Clinical Social Worker Clinical | 1041C0700X | Social Worker | 297340 | AK | No |
| Case Manager/Care Coordinator | 171M00000X | Case Manager/Care Coordinator | 297340 | AK | No |
| Psychiatry Physician Psychiatry | 2084P0800X | Psychiatry & Neurology | 297340 | AK | No |
| Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | 101YA0400X | Counselor | 297340 | AK | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | 297340 | AK | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH 2237 & DA2237 | 05 | AK | N/A |
Frequently Asked Questions
What is PROVIDENCE HEALTH & SERVICES WASHINGTON's NPI number?
PROVIDENCE HEALTH & SERVICES WASHINGTON's NPI number is 1477563344.
Which doctor has NPI number 1477563344?
The doctor with NPI number 1477563344 is PROVIDENCE HEALTH & SERVICES WASHINGTON.
What is PROVIDENCE HEALTH & SERVICES WASHINGTON's practice address?
PROVIDENCE HEALTH & SERVICES WASHINGTON's practice address is 1818 E REZANOF DR, KODIAK, AK, 996156505.
Which doctor practices at 1818 E REZANOF DR, KODIAK, AK, 996156505?
PROVIDENCE HEALTH & SERVICES WASHINGTON practices at 1818 E REZANOF DR, KODIAK, AK, 996156505.
What is PROVIDENCE HEALTH & SERVICES WASHINGTON's mailing address?
PROVIDENCE HEALTH & SERVICES WASHINGTON's mailing address is PO BOX 3290, PORTLAND, OR, 972083290.
What is PROVIDENCE HEALTH & SERVICES WASHINGTON's phone number?
PROVIDENCE HEALTH & SERVICES WASHINGTON's phone number is (907) 481-2400.
Who is (907) 481-2400?
(907) 481-2400 is the phone number for PROVIDENCE HEALTH & SERVICES WASHINGTON.
What is PROVIDENCE HEALTH & SERVICES WASHINGTON's specialty?
PROVIDENCE HEALTH & SERVICES WASHINGTON's specialty is Community/Behavioral Health Agency.
What type of doctor is PROVIDENCE HEALTH & SERVICES WASHINGTON?
PROVIDENCE HEALTH & SERVICES WASHINGTON is a Community/Behavioral Health Agency.
Is PROVIDENCE HEALTH & SERVICES WASHINGTON a Community/Behavioral Health?
Yes, PROVIDENCE HEALTH & SERVICES WASHINGTON is a Community/Behavioral Health.
Is PROVIDENCE HEALTH & SERVICES WASHINGTON still practicing?
Yes, PROVIDENCE HEALTH & SERVICES WASHINGTON is currently practicing.
Is PROVIDENCE HEALTH & SERVICES WASHINGTON accepting new patients?
PROVIDENCE HEALTH & SERVICES WASHINGTON may be accepting new patients. Please call their office at (907) 481-2400 to inquire about availability.
Is NPI 1477563344 still active?
Yes, NPI 1477563344 is currently active.
Where does PROVIDENCE HEALTH & SERVICES WASHINGTON practice?
PROVIDENCE HEALTH & SERVICES WASHINGTON practices in KODIAK, AK.