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Organization
PROVIDENCE HEALTH & SERVICES-WA
Active
Organization
PROVIDENCE HEALTH & SERVICES-WA
Active
Other names
Providence Regional Medical Center Everett
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
PO BOX 31001-4110, PASADENA, CA 91110-4110
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
—
NULL
175F00000X
Naturopath
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
NULL
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
05/07/2025
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