Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services - Wa

Organization Neurological Surgery Physician · NPI 1144471533

Providence Health & Services - Wa is a Neurological Surgery Physician in Everett, Washington. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

2320 Rucker Ave Ste A
Everett, WA 98201-2723
Phone: (425) 259-5121
Fax: (425) 252-1322
Show map & directions

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

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1144471533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Physician Group - Cranial Clinic
NPI enumeratedOctober 4, 2008
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing addressPo Box 34439, Seattle, WA 98124-1439

Other providers in Everett