Family Medicine
PROVIDENCE HEALTH & SERVICES WASHINGTON
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1174744304 · enumerated 2007-05-02 · record updated 2025-05-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DONALD ANDERSON, ASSISTANT SECRETARY OF ENROLLMENTS · (425) 358-9786
Other names: PROVIDENCE MEDICAL GROUP SOUTHWEST WASHINGTON
Addresses and phones
- Practice location 525 LILLY RD NE, OLYMPIA, WA, 98506 (360) 793-7230 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 31001-4114, PASADENA, CA, 91110-4114 (877) 747-2455 Google Maps Apple Maps OpenStreetMap
Specialties
- Social Worker, Clinical 1041C0700X
- Dermatology 207N00000X
- Family Medicine, Adult Medicine 207QA0505X
- Family Medicine, Geriatric Medicine 207QG0300X
- Obstetrics & Gynecology 207V00000X
- General Practice 208D00000X
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
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Practice location
OLYMPIA, WA, 98506
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.