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

Providence Health & Services - Washington

Organization General Practice Physician · NPI 1306201488

Providence Health & Services - Washington is a General Practice Physician in Mukilteo, Washington. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

10200 Mukilteo Speedway
Mukilteo, WA 98275-4743
Phone: (425) 525-3194
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1306201488
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary - Enrollment · (425) 358-9786
Other names Providence Physician Group
NPI enumeratedDecember 16, 2015
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing addressPo Box 3360, Portland, OR 97208-3360