PROVIDENCE HEALTH & SERVICES-WA NPI 1033360144

NPI Information

PROVIDENCE HEALTH & SERVICES-WA is an addiction medicine psychiatry neurology in Everett, WA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine PROVIDENCE HEALTH & SERVICES-WA NPI is 1033360144. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1321 COLBY AVE
EVERETT, WA
ZIP 98201-665
Phone: (425) 261-3968
Fax: (425) 261-3967

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assist Secretary-enrollment and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 1/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.