| Organization Name: | PROVIDENCE HEALTH & SERVICES - WASHINGTON |
| NPI Number: | 1275785669 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOYCE A KOBAYASHI (DIR REVENUE CYCLE MGMT NWSA) |
| Mailing Address: | 12800 Bothell Everett Hwy Suite 260b Everett |
| State: | WA US |
| Postal Code: | 982086642 |
| Phone Number: | 4253165425 |
| Fax Number: | 4253165427 |
| NPI Enumeration Date: | 10/16/2008 |
| NPI Last Update Date: | 10/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |