Providence Health & Services - Wa

NPI #1144471533 in Everett, Washington

Provider Information

NPI Number
1144471533
Entity Type
Organization
Organization Name
Providence Health & Services - Wa
Primary Specialty
Neurological Surgery
Enumeration Date
Oct 4, 2008
Last Updated
Jul 25, 2025

Practice Location

Address
2320 RUCKER AVE
Address 2
SUITE A
ZIP Code
98201-2723
Phone
(425) 259-5121

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Neurological Surgery

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