What is Providence Health & Services - Wa's NPI number?

Providence Health & Services - Wa's National Provider Identifier (NPI) is 1003050709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Providence Health & Services - Wa?

Providence Health & Services - Wa is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).

Where is Providence Health & Services - Wa located?

Providence Health & Services - Wa's practice location on file with NPPES is 4112 Harbour Pointe Blvd Sw, Mukilteo, WA 98275-5457.

What is Providence Health & Services - Wa's phone number?

The practice phone number listed in the NPPES registry for Providence Health & Services - Wa is (425) 347-6350.

Who is the authorized official for Providence Health & Services - Wa?

The authorized official listed on Providence Health & Services - Wa's NPPES record is Donald Anderson, Assistant Secretary of Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Providence Health & Services - Wa's NPI active?

Yes — Providence Health & Services - Wa's NPI (1003050709) is active in the NPPES registry as of the last update on 2025-07-25.

OrganizationActive

Providence Health & Services - Wa

NPI 1003050709 · General Practice Physician · Mukilteo, WA

Providence Health & Services - Wa is a General Practice Physician organization in Mukilteo, WA (NPI 1003050709).

Provider details

NPI number: 1003050709
Entity type: Organization
Primary specialty: General Practice PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786

Practice location

4112 Harbour Pointe Blvd Sw

Suite100

Mukilteo, WA 98275-5457

Phone: (425) 347-6350

Fax: (425) 347-6335

Street-level locationGet directions

More WA providers

Mailing address

Po Box 34439

Seattle, WA 98124-1439

Specialties & taxonomies

General Practice PhysicianPrimary208D00000X
Allopathic & Osteopathic Physicians
Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers

Other names (DBA / former)

Doing business as: Pmg Nw Wa H P Urgent Care

Profile Score

Detailed profile(86/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
17 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2009-04-24
Last updated: 2025-07-25
Certified: 2025-07-25

Frequently asked questions

What is Providence Health & Services - Wa's NPI number?: Providence Health & Services - Wa's National Provider Identifier (NPI) is 1003050709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Providence Health & Services - Wa?: Providence Health & Services - Wa is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
Where is Providence Health & Services - Wa located?: Providence Health & Services - Wa's practice location on file with NPPES is 4112 Harbour Pointe Blvd Sw, Mukilteo, WA 98275-5457.
What is Providence Health & Services - Wa's phone number?: The practice phone number listed in the NPPES registry for Providence Health & Services - Wa is (425) 347-6350.
Who is the authorized official for Providence Health & Services - Wa?: The authorized official listed on Providence Health & Services - Wa's NPPES record is Donald Anderson, Assistant Secretary of Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Providence Health & Services - Wa's NPI active?: Yes — Providence Health & Services - Wa's NPI (1003050709) is active in the NPPES registry as of the last update on 2025-07-25.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions