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

Providence Health & Services - Washington

Organization General Practice Physician · NPI 1770877227

Providence Health & Services - Washington provides General Practice Physician services in Snohomish, Washington. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

1830 Bickford Ave Ste 211
Snohomish, WA 98290-1749
Phone: (360) 668-1820
Fax: (360) 668-1825
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1770877227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Pmg Nw Wa In Home Primary Care/Clearview; Pmg Nw Wa In Home Primary Care/Clearview
NPI enumeratedJune 1, 2011
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing addressPo Box 31001-4114, Pasadena, CA 91110-4114

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