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PROVIDENCE HEALTH & SERVICES WASHINGTON

General Practice Physician

NPI: 1023563897Organization

Specialties, Licenses & Credentials

Clinic/Center

Code: 261Q00000X

General Practice

Code: 208D00000X

Contact & Hours

Address
1705 SE MEADOWBROOK BLVD, SUITE 2
COLLEGE PLACE, WA 99324

Quick Facts

NPI
1023563897
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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