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PROVIDENCE HEALTH & SERVICES WASHINGTON

Organization (NPI-2) Active

Community/Behavioral Health

Provider Information

NPI Number
1477563344
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1818 E REZANOF DR, KODIAK, AK, 996156505
Phone
(907) 481-2400
Fax
(907) 481-2419

Specialties & Taxonomies

Social Worker, Clinical License: AK #297340
Case Manager/Care Coordinator License: AK #297340
Psychiatry & Neurology, Psychiatry License: AK #297340
Counselor, Addiction (Substance Use Disorder) License: AK #297340
Community/Behavioral Health Primary License: AK #297340

All Addresses

MAILING

PO BOX 3290

PORTLAND, OR, 972083290

(907) 486-9500

LOCATION

1818 E REZANOF DR

KODIAK, AK, 996156505

(907) 481-2400