OrganizationActive
Providence Health & Services - Wa
NPI 1144471533 · Neurological Surgery Physician · Everett, WA
Provider details
- NPI number
- 1144471533
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2320 Rucker Ave
Suite a
Everett, WA 98201-2723
Phone: (425) 259-5121
Fax: (425) 252-1322
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 34439
Seattle, WA 98124-1439
Other names (DBA / former)
- Other name
- Providence Physician Group - Cranial Clinic
Registry dates
- Enumerated
- 2008-10-04
- Last updated
- 2025-07-25
- Certified
- 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.