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 1760633879

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

In the registry since
2008
Specialties on file
2

Practice location Address checks out

1330 Rockefeller Ave Ste 220
Everett, WA 98201-1684
Phone: (425) 261-4920
Fax: (425) 261-4988
Show map & directions

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

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1760633879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Physician Group - Everett Neuro; Providence Physician Group - Everett Neuro
NPI enumeratedOctober 7, 2008
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing addressPo Box 3360, Portland, OR 97208-3360

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