Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Providence Health & Services-Washington

Organization Surgery Physician · NPI 1114236791

Providence Health & Services-Washington provides Surgery Physician services in Everett, Washington. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

1330 Rockefeller Ave Ste 400
Everett, WA 98201-1676
Phone: (425) 261-4950
Fax: (425) 261-4951
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1114236791
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Pmg Nw Wa Cardiovascular And Thoracic Surgery; Pmg Nw Wa Cardiovascular And Thoracic Surgery
NPI enumeratedSeptember 30, 2010
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

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