PROVIDENCE EVERETT MEDICAL CENTER

EVERETT, WA
NPI1740344100
Doing Business AsPROVIDENCE DIABETES & NUTRITION PROGRAM
Entity TypeOrganization
Authorized ContactJOYCE KOBAYASHI
Dir Revenue Cycle Mgmt Nwsa
425-317-0186
Organization Subpart ?No
Primary Taxonomy133V00000X Dietitian, Registered
Additional Taxonomies133NN1002X Nutritionist, Nutrition, Education
133N00000X Nutritionist
Enumeration Date2006-12-20
Last Update Date2008-09-23
Business Address
PROVIDENCE EVERETT MEDICAL CENTER
916 PACIFIC AVE 7TH FLOOR
EVERETT, WA 98201-4147
Phone number: 425-258-7458
Mailing Address
PROVIDENCE EVERETT MEDICAL CENTER
909 N BROADWAY PBO CREDENTIALING
EVERETT, WA 98201-1409
Phone number: 425-317-0699