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

Providence Health & Services - Washington

Organization Family Medicine Physician · NPI 1013169507

Providence Health & Services - Washington is a Family Medicine Physician in Everett, Washington. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
4

Practice location Address checks out

12800 Bothell Everett Hwy Ste 120
Everett, WA 98208-6642
Phone: (425) 316-5150
Fax: (425) 225-1006
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Family Medicine Physician Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1013169507
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Pmg Nw Wa Mc Walk In Clinic
NPI enumeratedOctober 16, 2008
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

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