1407945389 PROVIDENCE HEALTH & SERVICES - WASHINGTON
Mental Illness Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- PROVIDENCE HEALTH & SERVICES - WASHINGTON
- Enumeration Date
- October 11, 2006
- Last Update
- May 12, 2025
- Authorized Official
- DONALD WAYNE ANDERSON JR.
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786
Practice Location
- Address
- 3760 PIPER ST
SUITE LL 139
ANCHORAGE, AK 995084665 - Phone
- (907) 563-5006
- Fax
- (907) 563-3217
Mailing Address
- Address
- PO BOX 4105
PORTLAND, OR 972084105 - Phone
- (866) 907-1068
- Fax
- (425) 917-9141
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Psychiatry Physician Psychiatry | 2084P0800X | Psychiatry & Neurology | N/A | N/A | No |
| Addiction Psychiatry Physician Addiction Psychiatry | 2084P0802X | Psychiatry & Neurology | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | No |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 512146 | AK | No |
| Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | 363LP0808X | Nurse Practitioner | N/A | N/A | No |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | NOT NUMBERED | AK | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021061 | 05 | AK | N/A |
| 1584965 | 05 | AK | N/A |
| 512146 | 01 | AK | STATE OF ALASKA COMMUNITY CARE LICENSE |
| MH3715 | 05 | AK | N/A |
Frequently Asked Questions
What is PROVIDENCE HEALTH & SERVICES - WASHINGTON's NPI number?
PROVIDENCE HEALTH & SERVICES - WASHINGTON's NPI number is 1407945389.
Which doctor has NPI number 1407945389?
The doctor with NPI number 1407945389 is PROVIDENCE HEALTH & SERVICES - WASHINGTON.
What is PROVIDENCE HEALTH & SERVICES - WASHINGTON's practice address?
PROVIDENCE HEALTH & SERVICES - WASHINGTON's practice address is 3760 PIPER ST, SUITE LL 139, ANCHORAGE, AK, 995084665.
Which doctor practices at 3760 PIPER ST, SUITE LL 139, ANCHORAGE, AK, 995084665?
PROVIDENCE HEALTH & SERVICES - WASHINGTON practices at 3760 PIPER ST, SUITE LL 139, ANCHORAGE, AK, 995084665.
What is PROVIDENCE HEALTH & SERVICES - WASHINGTON's mailing address?
PROVIDENCE HEALTH & SERVICES - WASHINGTON's mailing address is PO BOX 4105, PORTLAND, OR, 972084105.
What is PROVIDENCE HEALTH & SERVICES - WASHINGTON's phone number?
PROVIDENCE HEALTH & SERVICES - WASHINGTON's phone number is (907) 563-5006.
Who is (907) 563-5006?
(907) 563-5006 is the phone number for PROVIDENCE HEALTH & SERVICES - WASHINGTON.
What is PROVIDENCE HEALTH & SERVICES - WASHINGTON's specialty?
PROVIDENCE HEALTH & SERVICES - WASHINGTON's specialty is Mental Illness Community Based Residential Treatment Facility.
What type of doctor is PROVIDENCE HEALTH & SERVICES - WASHINGTON?
PROVIDENCE HEALTH & SERVICES - WASHINGTON is a Mental Illness Community Based Residential Treatment Facility.
Is PROVIDENCE HEALTH & SERVICES - WASHINGTON a Community Based Residential Treatment Facility, Mental Illness?
Yes, PROVIDENCE HEALTH & SERVICES - WASHINGTON is a Community Based Residential Treatment Facility, Mental Illness.
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) 563-5006 to inquire about availability.
Is NPI 1407945389 still active?
Yes, NPI 1407945389 is currently active.
Where does PROVIDENCE HEALTH & SERVICES - WASHINGTON practice?
PROVIDENCE HEALTH & SERVICES - WASHINGTON practices in ANCHORAGE, AK.