Organization · Type 2 NPI

Providence Health & Services-Wa

Orthopaedic Surgery of the Spine Physician · Everett, WA

NPI number 1831499755 Active

Practice location

1330 Rockefeller Ave, Suite 225
Everett, WA 98201-1684

Call (425) 261-4960 Map

Fax (425) 225-1001

Mailing address

PO Box 34439
Seattle, WA 98124-1439

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery of the Spine Physician Primary	207XS0117X	None listed

Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

78 other providers at this address

NPI record

NPI: 1831499755
Entity type: Organization (Type 2)
Issued: Oct 26, 2010
Last updated: Aug 7, 2025
Status: Active

Other names

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Providence Physician Group- Neurosurgery and Spine Clinic · doing business as

Authorized official

Donald Wayne 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 1831499755

Providence Health & Services-Wa's National Provider Identifier is 1831499755, issued on Oct 26, 2010. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Everett, WA. The record was last updated on Aug 7, 2025.