PROVIDENCE PHYSICIAN GROUP is a dermatology in Everett, WA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. PROVIDENCE PHYSICIAN GROUP NPI is 1932270360. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
12800 BOTHELL EVERETT HWY
SUITE 260
EVERETT, WA
ZIP 98208-642
Phone: (425) 316-5080
Fax: (425) 316-5025
The provider's authorized official is Earl D. Beegle .
The authorized official title is Chief Executive Officer and has the following contact phone number (425) 316-5470.
The CLIA number assigned to this NPI record is 50D2260008 - home health agency with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/22/2020.