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

Providence Health & Services-Wa

Organization Obstetrics & Gynecology Physician · NPI 1255664652

Providence Health & Services-Wa is an Obstetrics & Gynecology Physician in Everett, Washington. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2

Practice location Address checks out

900 Pacific Ave Ste 501
Everett, WA 98201-4147
Phone: (425) 259-3108
Fax: (425) 258-7450
Show map & directions

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

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1255664652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary For Enrollment · (425) 358-9786
Other names Pmg Nw Wa Ob Gyn Hospitalists
NPI enumeratedSeptember 16, 2009
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing addressPo Box 34439, Seattle, WA 98124-1439

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