Providence Health & Services - Washington
NPI #1124279237 in Mukilteo, Washington
Provider Information
- NPI Number
- 1124279237
- Entity Type
- Organization
- Organization Name
- Providence Health & Services - Washington
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 7, 2008
- Last Updated
- May 12, 2025
Practice Location
- Address
- 4112 HARBOUR POINTE BLVD SW
- Address 2
- SUITE 100
- City
- Mukilteo
- State
- Washington
- ZIP Code
- 98275-5457
- Phone
- (425) 347-6330
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECRETARY OF ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Pediatrics |
| Durable Medical Equipment & Medical Supplies |
| Family Medicine |
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