Providence Health & Services Washington

Specialty details in registry · Centralia, WA

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At a glance

914 S Scheuber Rd, Centralia, WA 98531-9027

NPPES record updated May 5, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

914 S Scheuber Rd
Centralia, WA 98531-9027
Professional details: NPI, taxonomy & registry record
NPI1275682932
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
273Y00000X
Enumeration date
Jan 10, 2007
Record updated
May 5, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

273Y00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

914 S Scheuber Rd
Centralia, WA 98531-9027
Phone
(360) 736-2803
Mailing address
909 N. BROADWAY
PBO/CREDENTIALING
EVERETT, WA 982011409
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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