Providence Health & Services - Washington
Providence Health & Services - Washington is a Pediatric Hospice and Palliative Medicine Physician in Everett, Washington. Licensed in Washington. Registered with an NPI since 2009.
- Licensed in
- WA
- In the registry since
- 2009
- Specialties on file
- 5
Practice location Address checks out
1615 75th St SW Ste 210Everett, WA 98203-6293
Phone: (425) 261-4800
Fax: (425) 261-4868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Based Hospice Care Agency (primary) | Taxonomy 251G00000X · Licence IHS.FS.00000418 (WA) |
|---|---|
| Pediatric Hospice and Palliative Medicine Physician | Taxonomy 2080H0002X |
| Community Based Hospice Care Agency | Taxonomy 251G00000X |
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
| Inpatient Hospice | Taxonomy 315D00000X |
Record details
| NPI number | 1083947709 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Enrollment · (425) 358-9786 |
| Other names | Prov Hospice & H C Of Snohomish Cty |
| NPI enumerated | September 14, 2009 |
| Last updated in NPPES | May 16, 2025 |
| Certification date | May 16, 2025 |
| Mailing address | 1615 75th St Sw Ste 210, Everett, WA 98203-6293 |