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

Providence Health & Services-Washington

Organization Surgery Physician · NPI 1114236791

Providence Health & Services-Washington is a Surgery Physician in Everett, Washington. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

1330 Rockefeller Ave Ste 400
Everett, WA 98201-1676
Phone: (425) 261-4950
Fax: (425) 261-4951
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1114236791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Pmg Nw Wa Cardiovascular And Thoracic Surgery; Pmg Nw Wa Cardiovascular And Thoracic Surgery
NPI enumeratedSeptember 30, 2010
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

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