Providence Health & Services - Wa
Neurological Surgery in Everett, WA. Organization (NPI-2).
NPI number1760633879
StatusActive
Last updated in NPPESMay 14, 2025
Details
- NPI
- 1760633879
- Entity type
- Organization (NPI-2)
- Legal business name
- Providence Health & Services - Wa
- Organization subpart
- No
- Enumeration date
- Oct 7, 2008
- Certification date
- May 14, 2025
- Last updated
- May 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Providence Physician Group - Everett Neuro (Doing Business As)
Practice location
1330 Rockefeller AveSuite 220
Everett, WA 98201-1684
Phone 425-261-4920 · Fax 425-261-4988
Mailing address
Po Box 3360Portland, OR 97208-3360
Phone 503-215-0700 · Fax 425-276-3215
Authorized official
Donald W Anderson
Assistant Secretary Of Enrollments
4253589786
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All 10 Neurological Surgery Physician providers in Everett · All 8,245 providers in Everett
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