Providence Health & Services - Wa

NPI #1760633879 in Everett, Washington

Provider Information

NPI Number
1760633879
Entity Type
Organization
Organization Name
Providence Health & Services - Wa
Primary Specialty
Neurological Surgery
Enumeration Date
Oct 7, 2008
Last Updated
May 14, 2025

Practice Location

Address
1330 ROCKEFELLER AVE
Address 2
SUITE 220
ZIP Code
98201-1684
Phone
(425) 261-4920

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Neurological Surgery

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