Providence Health & Services-Wa

NPI #1033360144 in Everett, Washington

Provider Information

NPI Number
1033360144
Entity Type
Organization
Organization Name
Providence Health & Services-Wa
Primary Specialty
Psychiatry & Neurology - Addiction Medicine
Enumeration Date
Oct 7, 2008
Last Updated
May 13, 2025

Practice Location

Address
1321 COLBY AVE
ZIP Code
98201-1665
Phone
(425) 261-3968

Authorized Official

Name
MR. DONALD WAYNE ANDERSON JR.
Title
ASSIST SECRETARY-ENROLLMENT
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health
Psychiatry & Neurology - Addiction MedicineAddiction Medicine

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