Organization · Type 2 NPI

Providence Health & Services - Washington

Internal Medicine Physician · Everett, WA

NPI number 1154572253 Active

Practice location

1330 Rockefeller Ave, Suite 210
Everett, WA 98201-1676

Call (425) 261-4940 Map

Fax (425) 261-4945

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-4114

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XNone listed
Infectious Disease Physician 207RI0200XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1154572253

Providence Health & Services - Washington's National Provider Identifier is 1154572253, issued on Oct 7, 2008. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Everett, WA. The record was last updated on May 12, 2025.