NPI 1083947709
Providence Health & Services - Washington
Practice location
- Address
- 1615 75th St SW STE 210, Everett, WA 98203-6293
- Phone
- (425) 261-4800
- Fax
- (425) 261-4868
Authorised official
- Name
- Donald Wayne Anderson
- Title
- Assistant Secretary Enrollment
- Phone
- (425) 358-9786
Registered specialties (5)
Community Based Hospice Care Agency
Primary
Pediatric Hospice and Palliative Medicine Physician
Community Based Hospice Care Agency
In Home Supportive Care Agency
Inpatient Hospice
Registry record
- NPI
- 1083947709
- Entity type
- Organization
- NPI issued
- 14 Sep 2009
- Record last updated
- 16 May 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.