OrganizationActive
Providence Health & Services-Wa
NPI 1033360144 · Addiction Medicine (Psychiatry & Neurology) Physician · Everett, WA
Provider details
- NPI number
- 1033360144
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assist Secretary-Enrollment(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1321 Colby Ave
Everett, WA 98201-1665
Phone: (425) 261-3968
Fax: (425) 261-3967
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 31001-4110
Pasadena, CA 91110-4110
Registry dates
- Enumerated
- 2008-10-07
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.