Providence Health & Services-Washington

NPI #1821249921 in Everett, Washington

Provider Information

NPI Number
1821249921
Entity Type
Organization
Organization Name
Providence Health & Services-Washington
Primary Specialty
Internal Medicine
Enumeration Date
Oct 7, 2008
Last Updated
May 9, 2025

Practice Location

Address
12800 BOTHELL EVERETT HWY
Address 2
SUITE 180
ZIP Code
98208-6644
Phone
(425) 316-5130

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
Internal Medicine

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