Providence Health & Services - Washington

NPI #1306201488 in Mukilteo, Washington

Provider Information

NPI Number: 1306201488
Entity Type: Organization
Organization Name: Providence Health & Services - Washington
Primary Specialty: General Practice
Enumeration Date: Dec 16, 2015
Last Updated: Jul 31, 2025

Practice Location

Address: 10200 MUKILTEO SPEEDWAY
City: Mukilteo
State: Washington
ZIP Code: 98275-4743
Phone: (425) 525-3194

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
General Practice	208D00000X	Primary

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Organizations

Provider Name	Specialty	City
Providence Health & Services - Wa	General Practice	Mukilteo	AI Deep Dive

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