Organization · Type 2 NPI
Providence Health & Services-Wa
Addiction Medicine (Family Medicine) Physician · Everett, WA
NPI number
1306097415
Active
Practice location
916 Pacific Ave, 1 South
Everett, WA 98201-4147
Fax (425) 258-7379
Mailing address
PO Box 31001-4110
Pasadena, CA 91110-4110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
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Other addiction medicine (family medicine) physician providers in Everett
About NPI 1306097415
Providence Health & Services-Wa's National Provider Identifier is 1306097415, issued on Oct 7, 2008. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Everett, WA. The record was last updated on May 7, 2025.