PROVIDENCE HEALTH & SERVICES - WASHINGTON

EVERETT, WA
NPI1902057029
Doing Business AsPMG NW WA EVERETT CARDIOLOGY
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary Of Enrollments
425-358-9786
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies2471B0102X Radiologic Technologist, Bone Densitometry
332B00000X Durable Medical Equipment & Medical Supplies
363LG0600X Nurse Practitioner, Gerontology
Enumeration Date2008-10-07
Last Update Date2025-05-14
Business Address
PROVIDENCE HEALTH & SERVICES - WASHINGTON
1330 ROCKEFELLER AVE SUITE 230
EVERETT, WA 98201-1676
Phone number: 425-261-4925
Mailing Address
PROVIDENCE HEALTH & SERVICES - WASHINGTON
PO BOX 31001-4114
PASADENA, CA 91110-4114
Phone number: 425-358-9786