OrganizationActive
Providence Health & Services - Washington
NPI 1124279237 · Family Medicine Physician · Mukilteo, WA
Provider details
- NPI number
- 1124279237
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Suppliers
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.
Practice location
4112 Harbour Pointe Blvd Sw
Suite 100
Mukilteo, WA 98275-5457
Phone: (425) 347-6330
Fax: (425) 347-6335
Street-level locationGet directions
Mailing address
Po Box 31001-4114
Pasadena, CA 91110-4114
Other names (DBA / former)
- Doing business as
- Pmg Nw Wa - Harbour Pointe
- Doing business as
- Pmg Nw Wa - Harbour Pointe
Registry dates
- Enumerated
- 2008-10-07
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.