OrganizationActive
Providence Health & Services-Washington
NPI 1508000449 · Cardiovascular Disease Physician · Everett, WA
Provider details
- NPI number
- 1508000449
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Suppliers
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
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
12800 Bothell Everett Hwy
Suite 160
Everett, WA 98208-6644
Phone: (425) 316-5490
Fax: (425) 225-1002
Street-level locationGet directions
Mailing address
Po Box 31001-4114
Pasadena, CA 91110-4114
Other names (DBA / former)
- Doing business as
- Pmg Nw Wa Cardiology
- Doing business as
- Providence Physician Group
Registry dates
- Enumerated
- 2009-04-22
- 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.