Providence Health & Services-Wa
NPI #1306097415 in Everett, Washington
Provider Information
- NPI Number
- 1306097415
- Entity Type
- Organization
- Organization Name
- Providence Health & Services-Wa
- Primary Specialty
- Family Medicine - Addiction Medicine
- Enumeration Date
- Oct 7, 2008
- Last Updated
- May 7, 2025
Practice Location
- Address
- 916 PACIFIC AVE
- Address 2
- 1 SOUTH
- City
- Everett
- State
- Washington
- ZIP Code
- 98201-4147
- Phone
- (425) 258-7390
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASST SECRETARY-ENROLLMENT
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Family Medicine - Addiction Medicine — Addiction Medicine |
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