PROVIDENCE HEALTH & SERVICES-WA

EVERETT, WA
NPI1821249921
Doing Business AsPMG NW WA MC INTERNAL MEDICINE
Entity TypeOrganization
Authorized ContactDONALD W ANDERSON
Dir Reimb Reg Strat/Asst Sec Enroll
425-525-5392
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2008-10-07
Last Update Date2021-08-17
Business Address
PROVIDENCE HEALTH & SERVICES-WA
12800 BOTHELL EVERETT HWY SUITE 180
EVERETT, WA 98208-6644
Phone number: 425-316-5130
Mailing Address
PROVIDENCE HEALTH & SERVICES-WA
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number: 866-399-2983