MEDICARE: PROVIDENCE HEALTH & SERVICES - WASHINGTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1841503034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROVIDENCE HEALTH & SERVICES - WASHINGTON

Provider Business Mailing Address
First Line	:	PO BOX 34439
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-1439
Country	:	US
Telephone Number	:	425-525-6715
Fax Number	:

Provider Business Practice Location Address
First Line	:	18313 PAULSONST SW
Second Line	:	SUITE A
City	:	ROCHESTER
State	:	WA
Zip	:	98579-9262
Country	:	US
Telephone Number	:	360-273-8818
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT SECREATRY FOR ENROLLMENT
Name	:	DONALD WAYNE ANDERSON JR.
Credential	:
Telephone Number	:	425-358-9786

Provider Enumeration Date	:	07/16/2010
Last Update Date	:	05/13/2025

Similar Medicare Providers

1912929258 — DARREN MICHAEL NEALIS LICSW
Practice Location Address:

18313 PAULSON ST SW STE A
ROCHESTER, WA
98579-9262

Practice Phone: 360-827-8400
Practice Fax: 360-273-7301

1205931508 — PROVIDENCE HEALTH & SERVICES - WASHINGTON
Practice Location Address:

18313 PAULSON ST SW , SUITE A
ROCHESTER, WA
98579-9262

Practice Phone: 360-827-8400
Practice Fax: 360-273-7301

1275622201 — JULIE RICE ARNP
Practice Location Address:

18313 PAULSON ST SW , SUITE A
ROCHESTER, WA
98579-9262

Practice Phone: 360-273-8818
Practice Fax: 360-273-7301

1194091637 — N W PEDIATRIC CENTER INC P S
Practice Location Address:

18313 PAULSON ST SW
ROCHESTER, WA
98579-9262

Practice Phone: 360-736-6778
Practice Fax: 360-736-6552

1821438029 — JORDAN M ABEL MD
Practice Location Address:

18313 PAULSON ST SW
ROCHESTER, WA
98579-9262

Practice Phone: 360-827-8400
Practice Fax: 360-273-7301

1558713453 — ASHLEY MIRALDI
Practice Location Address:

18313 PAULSON ST SW
ROCHESTER, WA
98579-9262

Practice Phone: 360-827-8400
Practice Fax:

Directions to “PROVIDENCE HEALTH & SERVICES - WASHINGTON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.