Organization · Type 2 NPI

Providence Health & Services - Washington

Family Medicine Physician · Snohomish, WA

NPI number 1982855375 Active

Practice location

1830 Bickford Ave, Suite 211
Snohomish, WA 98290-1751

Call (360) 568-5900 Map

Fax (360) 568-5905

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-4114

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Pediatrics Physician	208000000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None 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.

16 other providers at this address

Other family medicine physician providers in Snohomish

Western Washington Medical Group, Inc PSFamily Medicine Physician Snohomish, WA NPI 1760886980

See all in Snohomish →

NPI record

NPI: 1982855375
Entity type: Organization (Type 2)
Issued: Oct 4, 2008
Last updated: May 9, 2025
Status: Active

Other names

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PMG NW Wa Snohomish · doing business as
PMG NW Wa Snohomish · 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 1982855375

Providence Health & Services - Washington's National Provider Identifier is 1982855375, issued on Oct 4, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Snohomish, WA. The record was last updated on May 9, 2025.