PROVIDENCE HEALTH & SERVICES - WASHINGTON

EVERETT, WA
NPI1225335425
Doing Business AsPMG NW WA EVER VASCULAR SURG
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Of Enrollments
425-358-9786
Organization Subpart ?No
Primary Taxonomy2086S0129X 
Additional Taxonomies208600000X Surgery
363A00000X Physician Assistant
Enumeration Date2011-02-24
Last Update Date2025-05-12
Business Address
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1330 ROCKEFELLER AVE STE 520
EVERETT, WA 98201-1684
Phone number: 425-287-5200
Mailing Address
PROVIDENCE HEALTH & SERVICES - WASHINGTON
PO BOX 31001-4114
PASADENA, CA 91110-4114
Phone number: 425-358-9786