What is Providence Health & Services - Washington's NPI number?

Providence Health & Services - Washington's National Provider Identifier (NPI) is 1912158023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Providence Health & Services - Washington?

Providence Health & Services - Washington is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington's practice location on file with NPPES is 12800 Bothell Everett Hwy, Everett, WA 98208-6642.

What is Providence Health & Services - Washington's phone number?

The practice phone number listed in the NPPES registry for Providence Health & Services - Washington is (425) 316-5080.

Who is the authorized official for Providence Health & Services - Washington?

The authorized official listed on Providence Health & Services - Washington's NPPES record is Donald Anderson, Assistant Secretary of Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Providence Health & Services - Washington's NPI active?

Yes — Providence Health & Services - Washington's NPI (1912158023) is active in the NPPES registry as of the last update on 2025-05-09.

OrganizationActive

Providence Health & Services - Washington

NPI 1912158023 · Plastic Surgery Physician · Everett, WA

Providence Health & Services - Washington is a Plastic Surgery Physician organization in Everett, WA (NPI 1912158023).

Provider details

NPI number: 1912158023
Entity type: Organization
Primary specialty: Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786

Practice location

12800 Bothell Everett Hwy

Suite 260

Everett, WA 98208-6642

Phone: (425) 316-5080

Fax: (425) 316-5025

Street-level locationGet directions

More WA providers

Mailing address

Po Box 31001-4114

Pasadena, CA 91110-4114

Specialties & taxonomies

Plastic Surgery PhysicianPrimary208200000X
Allopathic & Osteopathic Physicians
Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
Pediatric Dermatology Physician207NP0225X
Allopathic & Osteopathic Physicians
Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians

Other names (DBA / former)

Doing business as: Pmg Nw Wa Reconstructive & Plastic Surgery
Doing business as: Pmg Nw Wa Reconstructive & Plastic Surgery

Profile Score

Detailed profile(87/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
18 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.

Enumerated: 2008-10-07
Last updated: 2025-05-09
Certified: 2025-05-09

Frequently asked questions

What is Providence Health & Services - Washington's NPI number?: Providence Health & Services - Washington's National Provider Identifier (NPI) is 1912158023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Providence Health & Services - Washington?: Providence Health & Services - Washington is classified in the NPPES registry as Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
Where is Providence Health & Services - Washington located?: Providence Health & Services - Washington's practice location on file with NPPES is 12800 Bothell Everett Hwy, Everett, WA 98208-6642.
What is Providence Health & Services - Washington's phone number?: The practice phone number listed in the NPPES registry for Providence Health & Services - Washington is (425) 316-5080.
Who is the authorized official for Providence Health & Services - Washington?: The authorized official listed on Providence Health & Services - Washington's NPPES record is Donald Anderson, Assistant Secretary of Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Providence Health & Services - Washington's NPI active?: Yes — Providence Health & Services - Washington's NPI (1912158023) is active in the NPPES registry as of the last update on 2025-05-09.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions