PROVIDENCE EVERETT MEDICAL CENTER

EVERETT, WA
NPI1255495024
Doing Business AsPROVIDENCE CHILDREN'S CENTER
Entity TypeOrganization
Authorized ContactJOYCE KOBAYASHI
Dir Revenue Cycle Mgmt Nwsa
425-317-0186
Organization Subpart ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
Additional Taxonomies133N00000X Nutritionist
133NN1002X Nutritionist, Nutrition, Education
363L00000X Nurse Practitioner
Enumeration Date2006-12-19
Last Update Date2008-09-22
Business Address
PROVIDENCE EVERETT MEDICAL CENTER
900 PACIFIC AVE FIRST FLOOR
EVERETT, WA 98201-4168
Phone number: 425-258-7311
Mailing Address
PROVIDENCE EVERETT MEDICAL CENTER
909 N BROADWAY PBO CREDENTIALING
EVERETT, WA 98201-1409
Phone number: 425-317-0699