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
916 PACIFIC AVE, EVERETT, WA 98201-4147
(425) 258-7361
(425) 258-7690
Mailing address
916 PACIFIC AVE, EVERETT, WA 98201-4147
(425) 258-7361
(425) 258-7690
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
PHAR.CF.00001024
WA
Other
Enumeration date
09/22/2014
Last updated
05/07/2025
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