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

Providence Health & Services - Washington

Organization Family Medicine Physician · NPI 1982855375

Providence Health & Services - Washington is a Family Medicine Physician in Snohomish, Washington. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
4

Practice location Address checks out

1830 Bickford Ave Ste 211
Snohomish, WA 98290-1751
Phone: (360) 568-5900
Fax: (360) 568-5905
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1982855375
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Pmg Nw Wa Snohomish; Pmg Nw Wa Snohomish
NPI enumeratedOctober 4, 2008
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

Other providers in Snohomish