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Contact Information

PROVIDENCE HEALTH & SERVICES - WASHINGTON
12800 BOTHELL EVERETT HWY
SUITE 260B
EVERETT, WA98208-6642
 Phone: 425-316-5425
 Fax: 425-316-5427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Bone Densitometry Radiologic Technologist

2471B0102X
 

Body Imaging

2085B0100X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH SERVICES WASHINGTON · (Female)

NPI # 1275785669
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2008
Last updated 07/31/2025 - About 10 months ago
Sole proprietor 1 Not specified
Identifiers
  • Other 1093896854 OLD NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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