NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1073677605 |   |   |   | PROVIDENCE HEALTH & SERVICES - WASHINGTON | 909 N BROADWAY | EVERETT | WA | 982011409 |
1073744850 |   |   |   | PROVIDENCE HEALTH & SERVICES WASHINGTON | PO BOX 34439 | SEATTLE | WA | 981241439 |