Providence Health & Services Washington
Specialty details in registry · Kodiak, AK
At a glance
1915 E Rezanof Dr, Kodiak, AK 99615-6602
NPPES record updated May 13, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1915 E Rezanof DrKodiak, AK 99615-6602
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 314000000X
- Enumeration date
- Sep 12, 2006
- Record updated
- May 13, 2025
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
314000000X · Primary
License reported: 309115 AK
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1915 E Rezanof DrKodiak, AK 99615-6602
- Phone
- (907) 486-3281
- Fax
- (907) 486-9546
Mailing address
PO BOX 3706PORTLAND, OR 972083706
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
Report a directory issue