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
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Suppliers
Profile Score
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.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pmg Nw Wa H P Urgent Care
Registry dates
- 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.