OrganizationActive
Providence Health & Services-Wa
NPI 1255664652 · Hospitalist Physician · Everett, WA
Provider details
- NPI number
- 1255664652
- Entity type
- Organization
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary for Enrollment(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
900 Pacific Ave
Suite 501
Everett, WA 98201-4147
Phone: (425) 259-3108
Fax: (425) 258-7450
Street-level locationGet directions
Mailing address
Po Box 34439
Seattle, WA 98124-1439
Other names (DBA / former)
- Doing business as
- Pmg Nw Wa Ob Gyn Hospitalists
Registry dates
- Enumerated
- 2009-09-16
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.