Organization · Type 2 NPI

Providence Health & Services - Washington

General Practice Physician · Everett, WA

NPI number 1013169507 Active

Practice location

12800 Bothell Everett Hwy, Suite 120
Everett, WA 98208-6642

Fax (425) 225-1006

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-4114

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Pediatrics Physician 208000000XNone listed
General Practice Physician Primary 208D00000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1013169507

Providence Health & Services - Washington's National Provider Identifier is 1013169507, issued on Oct 16, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Everett, WA. The record was last updated on Jul 24, 2025.