Organization · Type 2 NPI
Providence Health & Services-Wa
Addiction Medicine (Psychiatry & Neurology) Physician · Everett, WA
Practice location
1321 Colby Ave
Everett, WA 98201-1665
Fax (425) 261-3967
Mailing address
PO Box 31001-4110
Pasadena, CA 91110-4110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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About NPI 1033360144
Providence Health & Services-Wa's National Provider Identifier is 1033360144, issued on Oct 7, 2008. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Everett, WA. The record was last updated on May 13, 2025.