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

Providence Health & Services - Washington

Organization Hospice and Palliative Medicine (Family Medicine) Physician · NPI 1053027102

Providence Health & Services - Washington is a Hospice and Palliative Medicine (Family Medicine) Physician in Everett, Washington. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

1615 75th St SW Ste 210
Everett, WA 98203-6293
Phone: (425) 261-4800
Show map & directions

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

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X
Pediatric Hospice and Palliative Medicine Physician Taxonomy 2080H0002X
Community Based Hospice Care Agency Taxonomy 251G00000X

Record details

NPI number1053027102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Asst. Secretary Enrollment · (425) 525-5392
Other names Providence Hospice & Home Care Of Snohomish County; Providence Hospice & Home Care Of Snohomish County
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing addressPo Box 94502, Seattle, WA 98124-6802

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