Organization
PROVIDENCE HEALTH & SERVICES-WASHINGTON
Active
Other names
Providence Surgery Center, Pacific Campus
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (MARKET PRESIDENT)
(480) 567-0269
Entity
Organization
Contact information
Practice address
916 PACIFIC AVE STE 110, EVERETT, WA 98201-4147
(425) 261-2000
(425) 261-4051
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
08/23/2023
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