Providence Health & Services - Washington
NPI #1912158023 in Everett, Washington
Provider Information
- NPI Number
- 1912158023
- Entity Type
- Organization
- Organization Name
- Providence Health & Services - Washington
- Primary Specialty
- Plastic Surgery
- Enumeration Date
- Oct 7, 2008
- Last Updated
- May 9, 2025
Practice Location
- Address
- 12800 BOTHELL EVERETT HWY
- Address 2
- SUITE 260
- City
- Everett
- State
- Washington
- ZIP Code
- 98208-6642
- Phone
- (425) 316-5080
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECRETARY OF ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
| Dermatology - Dermatopathology — Dermatopathology |
| Dermatology - Pediatric Dermatology — Pediatric Dermatology |
| Dermatology - Procedural Dermatology — Procedural Dermatology |
| Plastic Surgery |
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