Providence Health & Services - Washington

NPI #1437300829 in Everett, Washington

Provider Information

NPI Number: 1437300829
Entity Type: Organization
Organization Name: Providence Health & Services - Washington
Primary Specialty: Pediatrics
Enumeration Date: Oct 4, 2008
Last Updated: May 12, 2025

Practice Location

Address: 12800 BOTHELL EVERETT HWY
Address 2: SUITE 190
City: Everett
State: Washington
ZIP Code: 98208-6644
Phone: (425) 316-5160

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pediatrics	208000000X	Primary

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