Providence Health & Services-Wa

NPI #1255664652 in Everett, Washington

Provider Information

NPI Number: 1255664652
Entity Type: Organization
Organization Name: Providence Health & Services-Wa
Primary Specialty: Hospitalist
Enumeration Date: Sep 16, 2009
Last Updated: Aug 5, 2025

Practice Location

Address: 900 PACIFIC AVE
Address 2: SUITE 501
City: Everett
State: Washington
ZIP Code: 98201-4147
Phone: (425) 259-3108

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Hospitalist	208M00000X	Primary

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