PROVIDENCE HEALTH & SERVICES-WA

NPI: 1447547658 · Organization · Active

Primary Specialty

Obstetrics & Gynecology Physician
Obstetrics & Gynecology

Practice Location

14692 179TH AVE SE
STE 800
MONROE, WA 98272-1162 Map ↗
Phone: 425-258-7550
Fax: 425-258-7450

Mailing Address

PO BOX 3360
PORTLAND, OR 97208-3360 Map ↗
Phone: 425-316-5469
Fax: 425-316-5484

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Obstetrics & Gynecology Physician Primary
  • Registered Nurse
  • Advanced Practice Midwife
  • Women's Health Nurse Practitioner — Women's Health

NPI Registration

Enumerated: 2011-07-08

Last CMS Update: 2025-08-07