Providence Health & Services-Washington

NPI #1114236791 in Everett, Washington

Provider Information

NPI Number: 1114236791
Entity Type: Organization
Organization Name: Providence Health & Services-Washington
Primary Specialty: Surgery
Enumeration Date: Sep 30, 2010
Last Updated: May 9, 2025

Practice Location

Address: 1330 ROCKEFELLER AVENUE
Address 2: SUITE 400
City: Everett
State: Washington
ZIP Code: 98201-1676
Phone: (425) 261-4950

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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