Organization · Type 2 NPI

Providence Health & Services - Washington

Family Medicine Physician · Mukilteo, WA

NPI number 1124279237 Active

Practice location

4112 Harbour Pointe Blvd SW, Suite 100
Mukilteo, WA 98275-5457

Call (425) 347-6330 Map

Fax (425) 347-6335

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-4114

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Pediatrics Physician 208000000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10 other providers at this address

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About NPI 1124279237

Providence Health & Services - Washington's National Provider Identifier is 1124279237, issued on Oct 7, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mukilteo, WA. The record was last updated on May 12, 2025.