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

Providence Health & Services - Washington

Organization Body Imaging Physician · NPI 1275785669

Providence Health & Services - Washington is a Body Imaging Physician in Everett, Washington. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
3

Practice location Address checks out

12800 Bothell Everett Hwy Ste 260B
Everett, WA 98208-6642
Phone: (425) 316-5425
Fax: (425) 316-5427
Show map & directions

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

Specialties & licences

Bone Densitometry Radiologic Technologist (primary) Taxonomy 2471B0102X
Body Imaging Physician Taxonomy 2085B0100X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1275785669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Physician Group Dexascan Phcc
NPI enumeratedOctober 16, 2008
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address909 N Broadway, Pbo/Credentialing, Everett, WA 98201-1409

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