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

Providence Health & Services - Washington

Organization Neurological Surgery Physician · NPI 1639468259

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

In the registry since
2011
Specialties on file
2

Practice location Address checks out

1717 13th St Ste 401
Everett, WA 98201-1621
Phone: (425) 297-6400
Fax: (425) 297-6405
Show map & directions

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

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X

Record details

NPI number1639468259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Pmg Nw Wa Cranial Spine And Joint Clinic; Pmg Nw Wa Cranial Spine And Joint Clinic
NPI enumeratedApril 5, 2011
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

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