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 1225335425

Providence Health & Services - Washington is a Surgery Physician in Everett, Washington. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
3

Practice location Address checks out

1330 Rockefeller Ave Ste 520
Everett, WA 98201-1684
Phone: (425) 287-5200
Fax: (425) 287-5210
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X
Surgery Physician Taxonomy 208600000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1225335425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Pmg Nw Wa Ever Vascular Surg; Pmg Nw Wa Ever Vascular Surg
NPI enumeratedFebruary 24, 2011
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

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