PROVIDENCE HEALTH & SERVICES - WASHINGTON – NPI #1225289333
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

PROVIDENCE HEALTH & SERVICES - WASHINGTON is a provider located in MONROE, WA. NPPES has assigned the NPI number 1225289333 to PROVIDENCE HEALTH & SERVICES - WASHINGTON on October 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on May 12, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PROVIDENCE HEALTH & SERVICES - WASHINGTON below.

NPI Profile for
PROVIDENCE HEALTH & SERVICES - WASHINGTON

NPI Number
1225289333
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Primary location
19200 N KELSEY ST
MONROE, WA 98272-1431
Phone: (360) 794-7994 Fax: (360) 805-4755
Mailing address
PO BOX 31001-4114
PASADENA, CA 91110-4114
Phone: (425) 358-9786 Fax:
Organization Subpart
No
Authorized Official
DONALD ANDERSON
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786
Updated
Certification Date
May 12, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
332B00000X
- Durable Medical Equipment & Medical Supplies
2471B0102X
- Radiologic Technologist / Bone Densitometry Radiologic Technologist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.