1952430902 PROVIDENCE HEALTH & SERVICES WASHINGTON
Emergency Medical Services (Emergency Medicine) Physician
Active
Basic Information
- Organization Name
- PROVIDENCE HEALTH & SERVICES WASHINGTON
- Enumeration Date
- March 5, 2007
- Last Update
- May 13, 2025
- Authorized Official
- DONALD WAYNE ANDERSON JR.
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786
Practice Location
- Address
- 1915 E REZANOF DR
KODIAK, AK 996156602 - Phone
- (907) 486-3281
Mailing Address
- Address
- PO BOX 3706
PORTLAND, OR 972083706 - Phone
- (907) 486-3281
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Hospitalist | N/A | N/A | No |
| Critical Access Hospital Critical Access | 282NC0060X | General Acute Care Hospital | 309115 | AK | No |
| Emergency Medical Services (Emergency Medicine) Physician Emergency Medical Services | 207PE0004X | Emergency Medicine | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MDG191 | 05 | AK | N/A |
Frequently Asked Questions
What is PROVIDENCE HEALTH & SERVICES WASHINGTON's NPI number?
PROVIDENCE HEALTH & SERVICES WASHINGTON's NPI number is 1952430902.
Which doctor has NPI number 1952430902?
The doctor with NPI number 1952430902 is PROVIDENCE HEALTH & SERVICES WASHINGTON.
What is PROVIDENCE HEALTH & SERVICES WASHINGTON's practice address?
PROVIDENCE HEALTH & SERVICES WASHINGTON's practice address is 1915 E REZANOF DR, KODIAK, AK, 996156602.
Which doctor practices at 1915 E REZANOF DR, KODIAK, AK, 996156602?
PROVIDENCE HEALTH & SERVICES WASHINGTON practices at 1915 E REZANOF DR, KODIAK, AK, 996156602.
What is PROVIDENCE HEALTH & SERVICES WASHINGTON's mailing address?
PROVIDENCE HEALTH & SERVICES WASHINGTON's mailing address is PO BOX 3706, PORTLAND, OR, 972083706.
What is PROVIDENCE HEALTH & SERVICES WASHINGTON's phone number?
PROVIDENCE HEALTH & SERVICES WASHINGTON's phone number is (907) 486-3281.
Who is (907) 486-3281?
(907) 486-3281 is the phone number for PROVIDENCE HEALTH & SERVICES WASHINGTON.
What is PROVIDENCE HEALTH & SERVICES WASHINGTON's specialty?
PROVIDENCE HEALTH & SERVICES WASHINGTON's specialty is Emergency Medical Services (Emergency Medicine) Physician.
What type of doctor is PROVIDENCE HEALTH & SERVICES WASHINGTON?
PROVIDENCE HEALTH & SERVICES WASHINGTON is a Emergency Medical Services (Emergency Medicine) Physician.
Is PROVIDENCE HEALTH & SERVICES WASHINGTON a Emergency Medical Services?
Yes, PROVIDENCE HEALTH & SERVICES WASHINGTON is a Emergency Medical Services.
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) 486-3281 to inquire about availability.
Is NPI 1952430902 still active?
Yes, NPI 1952430902 is currently active.
Where does PROVIDENCE HEALTH & SERVICES WASHINGTON practice?
PROVIDENCE HEALTH & SERVICES WASHINGTON practices in KODIAK, AK.