PROV HEALTH SYS-OR SHARED-SVS DIV – Durable Medical Equipment & Medical Supplies, NPI 1285201798

PROV HEALTH SYS-OR SHARED-SVS DIV is a healthcare provider. based in Tukwila, Washington. specializing in Durable Medical Equipment & Medical Supplies. The NPI Number for PROV HEALTH SYS-OR SHARED-SVS DIV is 1285201798

Main info

Organization
Name
PROV HEALTH SYS-OR SHARED-SVS DIV
NPI
1285201798
Phone
(503) 215-4333
Address
3311 S 120TH PL
Authorized Official
DONALD WAYNE ANDERSON JR. ASSISTANT SECRETARY OF ENROLLMENTS
Enumeration Date
4 June 2021
Last Update Date
15 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness80
Years active:5State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for PROV HEALTH SYS-OR SHARED-SVS DIV

  • 3311 S 120TH PL

    TUKWILA, WA 981685125

    Phone: (503) 215-4333

    Fax: (503) 215-4655

    Type: Location

  • PO BOX 5936A

    PORTLAND, OR 972285936

    Phone: (503) 215-4663

    Fax: (503) 215-4655

    Type: Mailing

  • 8605 COMMERCE PLACE DR NE STE A

    LACEY, WA 985163813

    Phone: (503) 215-4333

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98168)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for PROV HEALTH SYS-OR SHARED-SVS DIV?
PROV HEALTH SYS-OR SHARED-SVS DIV — NPI 1285201798 — is the standard way to identify this listing.
Does the file indicate PROV HEALTH SYS-OR SHARED-SVS DIV is practicing under active NPI?
Directory data currently reports PROV HEALTH SYS-OR SHARED-SVS DIV as active.
What taxonomy line describes PROV HEALTH SYS-OR SHARED-SVS DIV?
For research purposes, treat PROV HEALTH SYS-OR SHARED-SVS DIV as Durable Medical Equipment & Medical Supplies in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect PROV HEALTH SYS-OR SHARED-SVS DIV on a map?
Expect Tukwila, Washington as a primary anchor for PROV HEALTH SYS-OR SHARED-SVS DIV unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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