Providence Health & Services - Washington

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Practice address

18313 Paulsonst SW
Suite a
Rochester, WA 98579-9262

Phone

(360) 273-8818

NPI assigned

Jul 16, 2010

Last updated

May 13, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald Wayne Anderson Jr.

Title

Assistant Secreatry for Enrollment

Phone

(425) 358-9786

Specialties & licenses 1

Addresses

Other names 1

• Providence Rochester Family Medicine (FFS) Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1841503034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34439",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241439",
            "telephone_number": "425-525-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18313 PAULSONST SW",
            "address_2": "SUITE A",
            "city": "ROCHESTER",
            "state": "WA",
            "postal_code": "985799262",
            "telephone_number": "360-273-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES - WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECREATRY FOR ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Rochester Family Medicine (FFS)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Darren Michael Nealis, LICSW
• Courtney Jeanette Oliver, COTA/L, RBT/CBT
• Options Consulting, PLLC
• Brian D Ottesen, ARNP
• Providence Health & Services - Washington
• Quixote Consulting
• Katty Raisor, ARNP
• Gerardo A Ramirez Sr., MC8584
• Claudia J Randall, LMP
• Restoration Rehabilitation Inc (Restoration Rehabilitation)

• Family Medicine Physician in Rochester, WA
• Providers in Rochester, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.