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Organization

Providence Health & Services - Washington

NPI Record: ActiveFamily Medicine
NPI1225289333
Monroe, Washington

Provider's NPPES record last updated: May 12, 2025

Overview

Entity Type
Organization
NPI
1225289333
Primary Specialty
Family Medicine
Practice Location
Monroe, Washington
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 8:18 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207Q00000X
  • Radiologic Technologist

    Bone Densitometry

    Technologists, Technicians & Other Technical Service Providers

    A radiologic technologist who specializes in bone densitometry and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in performance of bone density imaging, exam techniques, equipment protocols, radiation safety, and patient care.

    Taxonomy code 2471B0102X
  • Durable Medical Equipment & Medical Supplies

    Suppliers

    A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

    Taxonomy code 332B00000X

Practice Locations

Practice Location

19200 N Kelsey St

Monroe, Washington 98272-1431

Phone: (360) 794-7994

Other Names

  • Pmg Nw Wa Monroe Family MedicineReported March 7, 2012
  • Pmg Nw Wa Monroe Family MedicineReported April 29, 2021

Record Information

Enumeration Date
October 7, 2008
Provider's NPPES Record Last Updated
May 12, 2025
Certification Date
May 12, 2025
NPISignal NPPES Dataset
August 2026

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