Organization · Type 2 NPI

Providence Health & Services - Washington

Family Medicine Physician · Everett, WA

NPI number 1821249939 Active

Practice location

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

Fax (425) 316-5181

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-4114

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Bone Densitometry Radiologic Technologist 2471B0102XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1821249939

Providence Health & Services - Washington's National Provider Identifier is 1821249939, issued on Oct 7, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Everett, WA. The record was last updated on May 14, 2025.