Providence Health & Services - Washington

NPI #1770877227 in Snohomish, Washington

Provider Information

NPI Number: 1770877227
Entity Type: Organization
Organization Name: Providence Health & Services - Washington
Primary Specialty: General Practice
Enumeration Date: Jun 1, 2011
Last Updated: May 14, 2025

Practice Location

Address: 1830 BICKFORD AVE
Address 2: SUITE 211
City: Snohomish
State: Washington
ZIP Code: 98290-1749
Phone: (360) 668-1820

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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