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 1821249921

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
2

Practice location Address checks out

12800 Bothell Everett Hwy Ste 180
Everett, WA 98208-6644
Phone: (425) 316-5130
Fax: (425) 316-5131
Show map & directions

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

Specialties & licences

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

Record details

NPI number1821249921
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Pmg Nw Wa Mc Internal Medicine; Pmg Nw Wa Mc Internal Medicine
NPI enumeratedOctober 7, 2008
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

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