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Contact Information

PROVIDENCE HEALTH & SERVICES-WA
1321 COLBY AVE
EVERETT, WA98201-1665
 Phone: 425-261-3968
 Fax: 425-261-3967
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES-WA

NPI Number 1033360144
LBN Legal business name PROVIDENCE HEALTH & SERVICES-WA
Authorized official DONALD ANDERSON - (ASSIST SECRETARY-ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2008
Last updated 05/13/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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