Providence Health & Services - Washington

NPI #1013169507 in Everett, Washington

Provider Information

NPI Number: 1013169507
Entity Type: Organization
Organization Name: Providence Health & Services - Washington
Primary Specialty: General Practice
Enumeration Date: Oct 16, 2008
Last Updated: Jul 24, 2025

Practice Location

Address: 12800 BOTHELL EVERETT HWY
Address 2: SUITE 120
City: Everett
State: Washington
ZIP Code: 98208-6642
Phone: (425) 316-5150

Authorized Official

Name: DONALD WAYNE ANDERSON JR.
Title: ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Pediatrics	208000000X
Durable Medical Equipment & Medical Supplies	332B00000X
General Practice	208D00000X	Primary

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