PROVIDENCE HEALTH & SERVICES-WA NPI 1508000449

NPI Information

PROVIDENCE HEALTH & SERVICES-WA is a cardiovascular disease internal medicine in Everett, WA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PROVIDENCE HEALTH & SERVICES-WA NPI is 1508000449. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Physician Group.

The provider's business location address is:

12800 BOTHELL EVERETT HWY
SUITE 160
EVERETT, WA
ZIP 98208-644
Phone: (425) 316-5490
Fax: (425) 225-1002

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Asst Sec For Enrollment/dir Reimb and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 4/22/2009 and was last updated on 4/1/2021.

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:

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