Providence Health & Services - Wa
NPI #1669616363 in Mukilteo, Washington
Provider Information
- NPI Number
- 1669616363
- Entity Type
- Organization
- Organization Name
- Providence Health & Services - Wa
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Apr 24, 2009
- Last Updated
- Jul 25, 2025
Practice Location
- Address
- 4112 HARBOUR POINTE BLVD SW
- Address 2
- SUITE 100
- City
- Mukilteo
- State
- Washington
- ZIP Code
- 98275-5457
- Phone
- (425) 347-6330
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECRETARY FOR ENROLLMENT
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Durable Medical Equipment & Medical Supplies |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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