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 1124279237

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

In the registry since
2008
Specialties on file
4

Practice location Address checks out

4112 Harbour Pointe Blvd SW Ste 100
Mukilteo, WA 98275-5457
Phone: (425) 347-6330
Fax: (425) 347-6335
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1124279237
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Pmg Nw Wa - Harbour Pointe; Pmg Nw Wa - Harbour Pointe
NPI enumeratedOctober 7, 2008
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

Other providers in Mukilteo