EVERETT E N T PS INC NPI 1336310382

NPI Information

  • NPI: 1336310382
  • Provider Name: EVERETT E N T PS INC
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Organization
  • CLIA Number: 50D2313862
  • Address: 5929 EVERGREEN WAY
    SUITE 200
    EVERETT, WA
    ZIP 98203
  • Phone: (425) 258-4361

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NPI Details

EVERETT E N T PS INC is an allergy allergy immunology in Everett, WA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee EVERETT E N T PS INC NPI is 1336310382. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5929 EVERGREEN WAY
SUITE 200
EVERETT, WA
ZIP 98203-031
Phone: (425) 258-4361
Fax: (425) 259-5270

The provider's authorized official is Thomas J Mueller .
The authorized official title is Owner and has the following contact phone number (425) 258-4361.

The CLIA number assigned to this NPI record is 50D2313862 - other - enhanced services fac. with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2008 and was last updated on 4/23/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergyMD00025076WASHINGTONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E43071MEDICARE UPINWASHINGTON
2D33834MEDICARE UPINWASHINGTON

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: 11/21/2025

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