Providence Health & Services - Washington

NPI #1639468259 in Everett, Washington

Provider Information

NPI Number: 1639468259
Entity Type: Organization
Organization Name: Providence Health & Services - Washington
Primary Specialty: Neurological Surgery
Enumeration Date: Apr 5, 2011
Last Updated: May 12, 2025

Practice Location

Address: 1717 13TH ST
Address 2: SUITE 401
City: Everett
State: Washington
ZIP Code: 98201-1621
Phone: (425) 297-6400

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X
Neurological Surgery	207T00000X	Primary

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