PROVIDENCE HEALTH & SERVICES-WASHINGTON

EVERETT, WA
NPI1821249921
Doing Business AsPMG NW WA MC INTERNAL MEDICINE
Entity TypeOrganization
Authorized ContactDONALD W ANDERSON
Assistant Secretary Of Enrollments
425-358-9786
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2008-10-07
Last Update Date2025-05-09
Business Address
PROVIDENCE HEALTH & SERVICES-WASHINGTON
12800 BOTHELL EVERETT HWY SUITE 180
EVERETT, WA 98208-6644
Phone number: 425-316-5130
Mailing Address
PROVIDENCE HEALTH & SERVICES-WASHINGTON
PO BOX 31001-4114
PASADENA, CA 91110-4114
Phone number: 425-358-9786