Organization · Type 2 NPI

Providence Health & Services-Washington

Cardiovascular Disease Physician · Everett, WA

NPI number 1508000449 Active

Practice location

12800 Bothell Everett Hwy, Suite 160
Everett, WA 98208-6644

Fax (425) 225-1002

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-4114

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1508000449

Providence Health & Services-Washington's National Provider Identifier is 1508000449, issued on Apr 22, 2009. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Everett, WA. The record was last updated on May 12, 2025.