Providence Health & Services-Wa
NPI 1306097415 · Addiction Medicine (Family Medicine) Physician · Everett, WA
Providence Health & Services-Wa is a Addiction Medicine (Family Medicine) Physician organization in Everett, WA (NPI 1306097415).
Provider details
- NPI number
- 1306097415
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Asst Secretary-Enrollment(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2008-10-07
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Frequently asked questions
- What is Providence Health & Services-Wa's NPI number?
- Providence Health & Services-Wa's National Provider Identifier (NPI) is 1306097415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health & Services-Wa?
- Providence Health & Services-Wa is classified in the NPPES registry as Addiction Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Providence Health & Services-Wa located?
- Providence Health & Services-Wa's practice location on file with NPPES is 916 Pacific Ave, Everett, WA 98201-4147.
- What is Providence Health & Services-Wa's phone number?
- The practice phone number listed in the NPPES registry for Providence Health & Services-Wa is (425) 258-7390.
- Who is the authorized official for Providence Health & Services-Wa?
- The authorized official listed on Providence Health & Services-Wa's NPPES record is Donald Anderson, Asst Secretary-Enrollment. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health & Services-Wa's NPI active?
- Yes — Providence Health & Services-Wa's NPI (1306097415) is active in the NPPES registry as of the last update on 2025-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.