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Organization

PROVIDENCE HEALTH & SERVICES-WA

Active
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Organization

PROVIDENCE HEALTH & SERVICES-WA

Active
Other names
PROVIDENCE REGIONAL MEDICAL CENTER EVERETT
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECREATRY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization

Contact information

Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
(425) 261-4051
Mailing address
PO BOX 3369, PORTLAND, OR 97208-3369
(425) 261-2000
(425) 261-4051

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary

Other

Enumeration date
04/20/2021
Last updated
05/07/2025
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