Providence Health & Services- Washington

NPI #1124270715 in Everett, Washington

Provider Information

NPI Number: 1124270715
Entity Type: Organization
Organization Name: Providence Health & Services- Washington
Primary Specialty: General Practice
Enumeration Date: Oct 15, 2008
Last Updated: May 9, 2025

Practice Location

Address: 900 PACIFIC AVE
Address 2: STE 501
City: Everett
State: Washington
ZIP Code: 98201-4168
Phone: (425) 258-7550

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Physical Therapist	225100000X
General Practice	208D00000X	Primary

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