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Providence Health & Services - Wa

Cardiovascular Disease Physician in Mukilteo, WA · enumerated 2009 · authorized official Donald Anderson, Assistant Secretary for Enrollment.

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

National Provider Identifier

1669616363

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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, Suite 100, Mukilteo, WA, 98275
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
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Primary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Donald Anderson
Title Assistant Secretary for Enrollment

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

Who is the authorized official for Providence Health & Services - Wa?
NPPES lists Donald Anderson (Assistant Secretary for Enrollment) as the authorized official for this organization.
What is the NPI number for Providence Health & Services - Wa?
The NPI for Providence Health & Services - Wa is 1669616363, a Type 2 (organization) record in the CMS NPPES registry.

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