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Providence Health & Services - Wa

General Practice Physician in Mukilteo, WA · enumerated 2009 · authorized official Donald Anderson, Assistant Secretary of Enrollments.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003050709

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services - Wa
Other name <Unavail>
Practice address 4112 Harbour Pointe Blvd Sw, Suite100, Mukilteo, WA, 98275
Phone (425) 347-6350
Fax (425) 347-6335
Enumeration date Apr 24, 2009
Last updated in NPPES Jul 25, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Donald Anderson
Title Assistant Secretary of Enrollments
Phone (425) 358-9786

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Providence Health & Services - Wa?
Providence Health & Services - Wa is registered in NPPES as a General Practice Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-25.