Organization · Type 2 NPI

Providence Health & Services - Washington

General Practice Physician · Mukilteo, WA

NPI number 1306201488 Active

Practice location

10200 Mukilteo Speedway
Mukilteo, WA 98275-4743

Call (425) 525-3194 Map

Mailing address

PO Box 3360
Portland, OR 97208-3360

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed
Clinic/Center 261Q00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

12 other providers at this address

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About NPI 1306201488

Providence Health & Services - Washington's National Provider Identifier is 1306201488, issued on Dec 16, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Mukilteo, WA. The record was last updated on Jul 31, 2025.