Providence Health & Services - Wa

Pediatrics

Providence Health & Services - Wa is a Everett, Washington based Pediatric center with medical specialization in General Pediatrics. Providence Health & Services - Wa is doing business as Pmg Nw Wa Mc Pediatrics. It is located at 12800 Bothell Everett Hwy, Suite 190, Everett, Washington - 98208-6644. They can be contacted on phone at 425-316-5160 and fax number 425-225-1005.
NPI number (Unique professional ID) for Providence Health & Services - Wa is 1437300829 which was assigned by NPPES on 04 Oct, 2008 and it was last updated on 26 Jan, 2022.
Providence Health & Services - Wa is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Providence Health & Services - Wa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Providence Health & Services - Wa
Other Name :Pmg Nw Wa Mc Pediatrics
Business Address:
Providence Health & Services - Wa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :12800 Bothell Everett Hwy, Suite 190
Everett, WA, 98208-6644
United States
Phone Number :425-316-5160
Fax Number :425-225-1005
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1437300829
NPI Entity Type : Organization
First Enrolment Date : 04 Oct, 2008
Last Updated On : 26 Jan, 2022
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
Authorized Official Name :Donaldwayne Anderson
Official Title or Position :ASST SEC FOR ENROLLMENT/DIR REIMB S
Phone Number :425-525-5392
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health & Services - Wa are as mentioned. Primary taxonomy code for Providence Health & Services - Wa is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
332B00000XDurable Medical Equipment & Medical SuppliesNo
208000000XPediatricsYes
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 3360
Portland, OR, 97208-3360
United States
Phone Number :866-399-2983
Business Location:
Patients can refer following map for directions to Providence Health & Services - Wa practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.