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PROVIDENCE HEALTH & SERVICES - WASHINGTON NPI 1275785669


NPI Information

NPI: 1275785669
Provider Name: PROVIDENCE HEALTH & SERVICES - WASHINGTON

Doing Business As: PROVIDENCE PHYSICIAN GROUP DEXASCAN PHCC

Classification: Radiologic Technologist - 2471B0102X
Entity Type: Organization

Specialization: Bone Densitometry

Address:
12800 BOTHELL EVERETT HWY
SUITE 260B
EVERETT, WA
ZIP 98208
Phone: (425) 316-5425
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PROVIDENCE HEALTH & SERVICES - WASHINGTON is a bone densitometry radiologic technologist in Everett, WA. The provider is definition to come. PROVIDENCE HEALTH & SERVICES - WASHINGTON NPI is 1275785669. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Physician Group Dexascan Phcc.

The provider's business location address is:

12800 BOTHELL EVERETT HWY
SUITE 260B
EVERETT, WA
ZIP 98208-642
Phone: (425) 316-5425
Fax: (425) 316-5427

The provider's authorized official is Joyce A Kobayashi .
The authorized official title is Dir Revenue Cycle Mgmt Nwsa and has the following contact phone number (425) 317-0186.

The enumeration date for this NPI number is 10/16/2008 and was last updated on 10/16/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
32471B0102XRadiologic TechnologistBone DensitometryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11093896854OTHEROLD NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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