PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1225289333
Family Medicine in Monroe, WA

Q: What is Providence Health & Services - Washington's specialty?

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

Active since October 07, 2008

19200 N KELSEY ST, MONROE, WA 98272(360) 794-7994(360) 805-4755 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2025, Mar 21, 2025, Apr 29, 2021 (3 updates tracked since 2021).

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About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1225289333), doing business as Pmg Nw Wa Monroe Family Medicine, is a healthcare organization registered as a family medicine in Monroe, Washington and active in the NPI registry since October 2008. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1225289333

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON

Location Address19200 N KELSEY STMonroe, WA 98272-1431

Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (425) 358-9786

Phone(360) 794-7994

Fax(360) 805-4755

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateOctober 7, 2008

Last NPPES UpdateMay 12, 20253 updates tracked since enumeration

NPPES CertifiedMay 12, 2025

✔ NPI 1225289333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedRadiologic Technologist · Bone DensitometryTaxonomy 2471B0102X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

19200 N KELSEY ST, Monroe, WA 98272

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Other Names 1

Doing Business AsPmg Nw Wa Monroe Family Medicine

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

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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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.

A CHANCELLOR PELL PA-C

Physician Assistant