PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1174744304
Family Medicine in Olympia, WA

Active since May 02, 2007
525 LILLY RD NE, OLYMPIA, WA 98506(360) 793-7230 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2025, Mar 21, 2025, Aug 20, 2024 and 2 more (5 updates tracked since 2019).

About Providence Health & Services Washington NPPES

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

PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1174744304), doing business as Providence Medical Group Southwest Washington, is a healthcare organization registered as a family medicine in Olympia, Washington and active in the NPI registry since May 2007. The organization maintains a secondary practice location in Olympia and lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1174744304
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON
Location Address525 LILLY RD NEOlympia, WA 98506
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (877) 747-2455
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateMay 2, 2007
Last NPPES UpdateMay 12, 20255 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1174744304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
525 LILLY RD NE, Olympia, WA 98506

Other Names 1

Doing Business AsProvidence Medical Group Southwest Washington

Secondary Practice Location 1

Location 11018 Capitol Way S, Suite 300Olympia, WA 98501-1212 · Phone (360) 486-6508 · Fax (360) 570-2077

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
525 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Specialist
525 LILLY RD NE, 210
OLYMPIA, WA 98506
Internal Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Specialist
525 LILLY RD NE, SUITE 200
OLYMPIA, WA 98506
Specialist
525 LILLY RD NE, SUITE 250
OLYMPIA, WA 98506
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506

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 1174744304. It was assigned to this organization in the NPPES registry on May 2, 2007. 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 525 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 793-7230.

What is Providence Health & Services Washington's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 with the weekly NPPES data releases published by CMS.