• Print Print
  • Share
  • Text Size: A | A | A

Application Packet

Thank you for your interest in Providence St. Peter Hospital Medical Staff credentialing.

Please complete the online request below to receive an application packet (via email) on, or about the next business day.

Privilege forms are emailed based on specialty. Please note in Comments/Questions area any additional privilege forms/special requests.

Questions or additional information: Medical Staff Office

eMail: wapsphapplication@providence.org

Phone: (360) 493-7360

Fax: (360) 493-5226

Monday – Friday from 7:30 a.m. to 4:00 p.m.

 

Request Provider Application Packet

*
*
*
*
*
*