Organization · Type 2 NPI

Providence Health & Services - Washington

General Practice Physician · Snohomish, WA

NPI number 1770877227 Active

Practice location

1830 Bickford Ave, Suite 211
Snohomish, WA 98290-1749

Call (360) 668-1820 Map

Fax (360) 668-1825

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-4114

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None 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.

16 other providers at this address

Other general practice physician providers in Snohomish

Clearview ClinicGeneral Practice Physician Snohomish, WA NPI 1316132731

See all in Snohomish →

NPI record

NPI: 1770877227
Entity type: Organization (Type 2)
Issued: Jun 1, 2011
Last updated: May 14, 2025
Status: Active

Other names

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PMG NW Wa In Home Primary Care/clearview · doing business as
PMG NW Wa In Home Primary Care/clearview · doing business as

Authorized official

Mr. Donald W Anderson
Assistant Secretary of Enrollments
(425) 358-9786

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1770877227

Providence Health & Services - Washington's National Provider Identifier is 1770877227, issued on Jun 1, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Snohomish, WA. The record was last updated on May 14, 2025.