Organization

Providence Physician Services Co

May also be knows as Providence Valley Family Physicians

Family Medicine Physician in Spokane Valley, WA(View on Map)

Legal Business Name

Providence Physician Services Co

Also Known As

Providence Valley Family Physicians

NPI Number

1194038455

NPI Type

Organization

Enumeration Date

07/15/2010

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 34908
12509 E MISSION AVE

City

Seattle
Spokane Valley

State

WA
WA

Postal Code

98124-1908
99216-1049

Country

US
US

Telephone Number

N/A
(509) 938-7100

Authorized Official

Name

Kevin Walstrom

Title or Position

CFO

Telephone Number

(509) 482-2367

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/15/2010

Provider Address

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