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Providence Health & Services - Washington

Family Medicine Physician in Marysville, WA · enumerated 2008 · authorized official Donald Anderson, Assistant Secretary of Enrollments.

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

National Provider Identifier

1063663458

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services - Washington
Other name <Unavail>
Practice address 11603 State Ave, Suite G, Marysville, WA, 98271
Phone (360) 658-6800
Fax (360) 658-6819
Enumeration date Oct 4, 2008
Last updated in NPPES May 12, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
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

Where is Providence Health & Services - Washington located?
The practice location on file with NPPES is in Marysville, WA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-12. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-12.