PROVIDENCE HEALTH & SERVICES - WASHINGTON

NPI: 1770734881 · Organization · Active

Primary Specialty

Internal Medicine Physician
Internal Medicine

Practice Location

19200 N KELSEY ST
MONROE, WA 98272-1431 Map ↗
Phone: 360-794-9101
Fax: 360-794-4759

Mailing Address

PO BOX 31001-4114
PASADENA, CA 91110-4114 Map ↗
Phone: 425-358-9786

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

All Specialties & Licenses

  • Internal Medicine Physician Primary
  • Durable Medical Equipment & Medical Supplies

NPI Registration

Enumerated: 2008-10-07

Last CMS Update: 2025-05-14