# SWEDISH EDMONDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SWEDISH EDMONDS
- **Other names:** SWEDISH EDMONDS PAIN TREATMENT CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124334248
- **Legal business name:** SWEDISH EDMONDS
- **Authorized official:** DONALD WAYNE ANDERSON JR. (ASSISTANT SECREATRY FOR ENROLLMENT)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 21601 76TH AVE W, EDMONDS, WA 98026-7507
- **Practice address phone:** (425) 640-4740
- **Practice address fax:** (425) 640-4746
- **Mailing address:** PO BOX 91000, EDMONDS, WA 98026-2100
- **Mailing address phone:** (425) 640-4740
- **Mailing address fax:** (425) 640-4746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2010
- **Last updated:** 05/08/2025