NPI 1124270715

Providence Health & Services- Washington

Organisation General Practice Physician Everett, WA

Practice location

Address: 900 Pacific Ave STE 501, Everett, WA 98201-4168
Phone: (425) 258-7550
Fax: (425) 258-7450
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 (3)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Registry record

NPI: 1124270715
Entity type: Organization
NPI issued: 15 Oct 2008
Record last updated: 19 Feb 2026

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.