PROVIDENCE HEALTH & SERVICES-WA

EVERETT, WA
NPI1831499755
Doing Business AsPROVIDENCE PHYSICIAN GROUP- NEUROSURGERY AND SPINE CLINIC
Entity TypeOrganization
Authorized ContactNICHOLE QUINN
Payor Credentialing Manager
425-525-6715
Organization Subpart ?No
Primary Taxonomy207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine
Enumeration Date2010-10-26
Last Update Date2010-12-27
Business Address
PROVIDENCE HEALTH & SERVICES-WA
1330 ROCKEFELLER AVE SUITE 225
EVERETT, WA 98201-1684
Phone number: 425-261-4960
Mailing Address
PROVIDENCE HEALTH & SERVICES-WA
PO BOX 34439
SEATTLE, WA 98124-1439
Phone number: 425-525-6652