Organization
SWEDISH EDMONDS
Active
Parent organization
SWEDISH EDMONDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SWEDISH EDMONDS
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECREATRY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
21616 76 AVE W, SUITE 212, EDMONDS, WA 98026
(425) 673-3820
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(425) 673-3374
(425) 640-4455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
MD00017597
WA
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
10/21/2010
Last updated
05/08/2025
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