Providence Health & Services-Wa

Organization Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1033360144

Providence Health & Services-Wa is an Addiction Medicine (Psychiatry & Neurology) Physician in Everett, Washington. Registered with an NPI since 2008.

In the registry since: 2008
Specialties on file: 2

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Practice location Address checks out

1321 Colby Ave
Everett, WA 98201-1665
Phone: (425) 261-3968
Fax: (425) 261-3967

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Psychiatry & Neurology) Physician (primary)	Taxonomy 2084A0401X
Psychiatric/Mental Health Nurse Practitioner	Taxonomy 363LP0808X

Record details

NPI number	1033360144
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Donald Anderson — Assist Secretary-Enrollment · (425) 358-9786
NPI enumerated	October 7, 2008
Last updated in NPPES	May 13, 2025
Certification date	May 13, 2025
Mailing address	Po Box 31001-4110, Pasadena, CA 91110-4110