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Providence Health & Services - Washington — NPI 1053027102, Everett, WA | NPI Central

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NPI 1053027102

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Providence Health & Services - Washington

NPI 1053027102 · Hospice and Palliative Medicine (Family Medicine) Physician · Everett, WA

Provider details

NPI number: 1053027102
Entity type: Organization
Primary specialty: Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Donald Anderson, Asst. Secretary Enrollment(425) 525-5392

Specialties & taxonomies

Hospice and Palliative Medicine (Family Medicine) PhysicianPrimary207QH0002X
Allopathic & Osteopathic Physicians
Pediatric Hospice and Palliative Medicine Physician2080H0002X
Allopathic & Osteopathic Physicians
Community Based Hospice Care Agency251G00000X
Agencies

Practice location

1615 75th St Sw Ste 210

Everett, WA 98203-6293

Phone: (425) 261-4800

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

Po Box 94502

Seattle, WA 98124-6802

Other names (DBA / former)

Doing business as: Providence Hospice & Home Care of Snohomish County
Doing business as: Providence Hospice & Home Care of Snohomish County

Registry dates

Enumerated: 2023-01-23
Last updated: 2023-01-25
Certified: 2023-01-25

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