Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Providence Health & Services Washington

Organization Surgical Physician Assistant · NPI 1851574750

Providence Health & Services Washington provides Surgical Physician Assistant services in Olympia, Washington. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone: (360) 491-9480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1851574750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary For Enrollment · (425) 358-9786
NPI enumeratedDecember 13, 2007
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing addressPo Box 31001-4110, Pasadena, CA 91110-4110

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