PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1134656135
General Practice in Olympia, WA

Active since May 22, 2017
1018 CAPITOL WAY S STE 300, OLYMPIA, WA 98501(360) 486-6508(360) 570-2077 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2025, Nov 26, 2017, May 22, 2017 (3 updates tracked since 2017).

About Providence Health & Services Washington NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1134656135), doing business as Providence Medical Group Southwest Washington, is a healthcare organization registered as a general practice in Olympia, Washington and active in the NPI registry since May 2017. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1134656135
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON
Location Address1018 CAPITOL WAY S STE 300Olympia, WA 98501-1212
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (360) 486-6508
Fax(360) 570-2077
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateMay 22, 2017
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1134656135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/CenterTaxonomy 261Q00000X
1018 CAPITOL WAY S STE 300, Olympia, WA 98501

Other Names 1

Doing Business AsProvidence Medical Group Southwest Washington

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services Washington's NPI number?

The NPI number for Providence Health & Services Washington is 1134656135. It was assigned to this organization in the NPPES registry on May 22, 2017. The provider is doing business as Providence Medical Group Southwest Washington.

Where is Providence Health & Services Washington located?

Providence Health & Services Washington is located at 1018 Capitol Way S Ste 300, Olympia, WA 98501. The listed phone number is (360) 486-6508.

What is Providence Health & Services Washington's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Providence Health & Services Washington accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Washington was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.