Providence Health & Services - Washington

NPI #1083947709 in Everett, Washington

Provider Information

NPI Number: 1083947709
Entity Type: Organization
Organization Name: Providence Health & Services - Washington
Primary Specialty: Pediatrics - Hospice and Palliative Medicine
Enumeration Date: Sep 14, 2009
Last Updated: May 16, 2025

Practice Location

Address: 1615 75TH ST SW STE 210
City: Everett
State: Washington
ZIP Code: 98203-6293
Phone: (425) 261-4800

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Hospice and Palliative Medicine — Hospice and Palliative Medicine	2080H0002X	Primary
Hospice Care, Community Based	251G00000X
In Home Supportive Care	253Z00000X
Hospice, Inpatient	315D00000X

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