PROVIDENCE HEALTH & SERVICES - WASHINGTON

EVERETT, WA
NPI1437300829
Doing Business AsPMG NW WA MC PEDIATRICS
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Of Enrollments
425-358-9786
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2008-10-04
Last Update Date2025-05-12
Business Address
PROVIDENCE HEALTH & SERVICES - WASHINGTON
12800 BOTHELL EVERETT HWY SUITE 190
EVERETT, WA 98208-6644
Phone number: 425-316-5160
Mailing Address
PROVIDENCE HEALTH & SERVICES - WASHINGTON
PO BOX 31001-4114
PASADENA, CA 91110-4114
Phone number: 425-358-9786