Providence Health & Services - Wa

NPI #1255582649 in Everett, Washington

Provider Information

NPI Number: 1255582649
Entity Type: Organization
Organization Name: Providence Health & Services - Wa
Primary Specialty: Family Medicine
Enumeration Date: Oct 4, 2008
Last Updated: Mar 11, 2010

Practice Location

Address: 5007 CLAREMONT WAY
City: Everett
State: Washington
ZIP Code: 98203-3321
Phone: (425) 258-7050

Authorized Official

Name: MS. BARBARA SCHUMACHER
Title: PRO FEE CREDENTIALING MANAGER
Phone: (425) 258-7050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X
General Practice	208D00000X
Durable Medical Equipment & Medical Supplies	332B00000X
Family Medicine	207Q00000X	Primary

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