Providence Health & Services - Washington

NPI #1982855375 in Snohomish, Washington

Provider Information

NPI Number
1982855375
Entity Type
Organization
Organization Name
Providence Health & Services - Washington
Primary Specialty
Family Medicine
Enumeration Date
Oct 4, 2008
Last Updated
May 9, 2025

Practice Location

Address
1830 BICKFORD AVE
Address 2
SUITE 211
ZIP Code
98290-1751
Phone
(360) 568-5900

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Pediatrics
Durable Medical Equipment & Medical Supplies
Family Medicine

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