NPI 1013169507

Providence Health & Services - Washington

Organisation General Practice Physician Everett, WA

Practice location

Address: 12800 Bothell Everett Hwy Suite 120, Everett, WA 98208-6642
Phone: (425) 316-5150
Fax: (425) 225-1006
Mailing address: PO Box 31001-4114, Pasadena, CA 91110-4114

Authorised official

Name: Donald Wayne Anderson
Title: Assistant Secretary of Enrollments
Phone: (425) 358-9786

Registered specialties (4)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Washington →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Washington →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Washington →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Washington →

Registry record

NPI: 1013169507
Entity type: Organization
NPI issued: 16 Oct 2008
Record last updated: 24 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.