Organization · Type 2 NPI

Providence Health & Services - Washington

Community Based Hospice Care Agency · Everett, WA

NPI number 1083947709 Active

Practice location

1615 75th St SW Ste 210
Everett, WA 98203-6293

Fax (425) 261-4868

Specialties and licenses

TaxonomyCodeLicense
Pediatric Hospice and Palliative Medicine Physician 2080H0002XNone listed
Community Based Hospice Care Agency 251G00000XNone listed
Community Based Hospice Care Agency Primary 251G00000XIHS.FS.00000418 (WA)
In Home Supportive Care Agency 253Z00000XNone listed
Inpatient Hospice 315D00000XNone listed

Community Based Hospice Care Agency: Definition to come...

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About NPI 1083947709

Providence Health & Services - Washington's National Provider Identifier is 1083947709, issued on Sep 14, 2009. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Everett, WA. The record was last updated on May 16, 2025.