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

Providence Health & Services - Washington

Organization Internal Medicine Physician · NPI 1154572253

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

In the registry since
2008
Specialties on file
3

Practice location Address checks out

1330 Rockefeller Ave Ste 210
Everett, WA 98201-1676
Phone: (425) 261-4940
Fax: (425) 261-4945
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Infectious Disease Physician Taxonomy 207RI0200X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1154572253
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Pmg Nw Wa N Everett Internal Medicine; Pmg Nw Wa N Everett Internal Medicine
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 Everett