Providence Health & Services Washington is a Psychiatry Clinic in Kodiak, Alaska. It is located at 1818 E Rezanof Dr, Kodiak, AK and its contact number is 907-481-2400. The authorized person for Providence Health & Services Washington is Mr. Donald Wayne Anderson Jr.
who is Assistant Secretary Of Enrollments of the clinic and his/her contact number is 425-358-9786. The primary license number for Providence Health & Services Washington is 297340 (Community/behavioral Health) in Alaska.
Providence Health & Services Washington Clinic specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Clinic Profile:
Providence Health & Services Washington Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Providence Health & Services Washington |
| Specialization: | Psychiatry |
| Clinic Address: | 1818 E Rezanof Dr, Kodiak,
Alaska, 99615-6505 |
| Phone: | 907-481-2400 |
| Fax: | 907-481-2419 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Donald Wayne Anderson Jr. |
| Position: | Assistant Secretary Of Enrollments |
| Contact Number: | 425-358-9786 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Health & Services Washington clinic are as mentioned below.
| NPI Number: | 1477563344 |
| NPI Enumeration Date: | 09 Aug, 2006 |
| NPI Last Update On: | 15 May, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health & Services Washington are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/behavioral Health | 297340 | Alaska | Primary | |
| Clinical | 297340 | Alaska | Secondary | |
| Case Manager/care Coordinator | 297340 | Alaska | Secondary | |
| Psychiatry | 297340 | Alaska | Secondary | |
| Addiction (Substance Use Disorder) | 297340 | Alaska | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| MH 2237 & DA2237 | Medicaid | Alaska | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Providence Health & Services Washington
Po Box 3290,
Portland, Oregon |
| Zip: | 97208-3290 |
| Phone Number: | 907-486-9500 |
| Fax Number: | -- |
Patients can reach Providence Health & Services Washington at
1818 E Rezanof Dr, Kodiak, Alaska or can
call to book an appointment on 907-481-2400.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.