Organization · Type 2 NPI

Providence Health & Services - Washington

Neurological Surgery Physician · Everett, WA

NPI number 1639468259 Active

Practice location

1717 13th St, Suite 401
Everett, WA 98201-1621

Call (425) 297-6400 Map

Fax (425) 297-6405

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-4114

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1639468259

Providence Health & Services - Washington's National Provider Identifier is 1639468259, issued on Apr 5, 2011. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Everett, WA. The record was last updated on May 12, 2025.