| Chc Of Snohomish County | |
|
8609 Evergreen Way Everett WA 98208-2619 | |
| (425) 789-1000 | |
| (425) 789-3750 |
| Full Name | Chc Of Snohomish County |
|---|---|
| Speciality | Clinic/Center |
| Location | 8609 Evergreen Way, Everett, Washington |
| Authorized Official Name and Position | Robert C Farrell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4257893700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chc Of Snohomish County 8609 Evergreen Way Everett WA 98208-2619 Ph: (425) 789-3700 | Chc Of Snohomish County 8609 Evergreen Way Everett WA 98208-2619 Ph: (425) 789-1000 |
| NPI Number | 1730136367 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 03/25/2016 |
| Medicare PECOS PAC ID | 0446152003 |
|---|---|
| Medicare Enrollment ID | O20040123000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730136367 | NPI | - | NPPES |
| 1017523 | Medicaid | WA | |
| 2001689 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7034036 (Washington) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Varun M Jhaveri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851332522 PECOS PAC ID: 6305744392 Enrollment ID: I20031229000804 |
| Provider Name | Hillary K Liss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609952472 PECOS PAC ID: 4183516248 Enrollment ID: I20040325000876 |
| Provider Name | Veronica S Erhart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053344663 PECOS PAC ID: 6901896570 Enrollment ID: I20040514001177 |
| Provider Name | Maria De Los Angeles Gutierrez Rivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598817736 PECOS PAC ID: 4981662103 Enrollment ID: I20041220000987 |
| Provider Name | Gregory L Morlin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982715223 PECOS PAC ID: 9739108598 Enrollment ID: I20051122000314 |
| Provider Name | Chiyong Byun |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508974643 PECOS PAC ID: 5991711137 Enrollment ID: I20060227000176 |
| Provider Name | John R Stephens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962470476 PECOS PAC ID: 8527952043 Enrollment ID: I20060503000210 |
| Provider Name | Steven A Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801831896 PECOS PAC ID: 2466465851 Enrollment ID: I20060802000181 |
| Provider Name | Evelyn M Dreyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003979410 PECOS PAC ID: 9133223159 Enrollment ID: I20070919000325 |
| Provider Name | Clarence J Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053307710 PECOS PAC ID: 0446330849 Enrollment ID: I20080110000017 |
| Provider Name | Mark A Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154361335 PECOS PAC ID: 6305759168 Enrollment ID: I20080117000269 |
| Provider Name | Rajasri D Palepu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568644607 PECOS PAC ID: 5294893269 Enrollment ID: I20081020000369 |
| Provider Name | Chiyang Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760474738 PECOS PAC ID: 0941350755 Enrollment ID: I20090616000455 |
| Provider Name | Anurag Markanday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073747291 PECOS PAC ID: 2769533223 Enrollment ID: I20090624000346 |
| Provider Name | Nan-shing Hsu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598731804 PECOS PAC ID: 8426109794 Enrollment ID: I20090626000001 |
| Provider Name | Carrie Lynn Kingsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437483799 PECOS PAC ID: 2264579069 Enrollment ID: I20091028000121 |
| Provider Name | Margaret L Green |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558586156 PECOS PAC ID: 6709926496 Enrollment ID: I20091210000123 |
| Provider Name | Andrew K Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114990975 PECOS PAC ID: 7012058829 Enrollment ID: I20091230000444 |
| Provider Name | Sheryl A Dreyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144298043 PECOS PAC ID: 5799679213 Enrollment ID: I20100211000676 |
| Provider Name | Tom M Tocher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568571289 PECOS PAC ID: 5991831661 Enrollment ID: I20100504000866 |
| Provider Name | Robert D Harrington |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912083718 PECOS PAC ID: 0941331581 Enrollment ID: I20100626000123 |
| Provider Name | Amy E Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871791103 PECOS PAC ID: 1052444627 Enrollment ID: I20100803000556 |
| Provider Name | Cynthia D Bader |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689828345 PECOS PAC ID: 9537285374 Enrollment ID: I20100929000554 |
| Provider Name | Alan O Haakenstad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659304558 PECOS PAC ID: 3971796921 Enrollment ID: I20101021001445 |
| Provider Name | Daniel R Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205909082 PECOS PAC ID: 0446140586 Enrollment ID: I20101112000079 |
| Provider Name | Yvonne Q Ma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598753733 PECOS PAC ID: 2567642085 Enrollment ID: I20110215000798 |
| Provider Name | Kimberly L Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982869848 PECOS PAC ID: 1557531100 Enrollment ID: I20110908002314 |
| Provider Name | Tanya Bhatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194984161 PECOS PAC ID: 0244304624 Enrollment ID: I20111207000136 |
| Provider Name | Vicki L Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548358187 PECOS PAC ID: 3375719651 Enrollment ID: I20120109000580 |
| Provider Name | Suzanne J Fiala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841373818 PECOS PAC ID: 4587826508 Enrollment ID: I20120508000450 |
| Provider Name | Lisa Marie Benton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487933545 PECOS PAC ID: 5799956744 Enrollment ID: I20120810000487 |
| Provider Name | Brian R Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609075969 PECOS PAC ID: 5698932531 Enrollment ID: I20120820000909 |
| Provider Name | James K Sherwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194968446 PECOS PAC ID: 0446407738 Enrollment ID: I20120821000645 |
| Provider Name | Eleanor G Bly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265675508 PECOS PAC ID: 3577711001 Enrollment ID: I20120907000114 |
| Provider Name | Carmen Oprea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447489307 PECOS PAC ID: 8527218155 Enrollment ID: I20121017000321 |
| Provider Name | Douglas Mcmillen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093721508 PECOS PAC ID: 7618908708 Enrollment ID: I20121207000486 |
| Provider Name | Scott R Mcafee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255484630 PECOS PAC ID: 4880833458 Enrollment ID: I20130612000419 |
| Provider Name | Alex Harvey Kosloff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598722597 PECOS PAC ID: 9931127354 Enrollment ID: I20130717000542 |
| Provider Name | Diem Phuong N Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053547232 PECOS PAC ID: 6800030149 Enrollment ID: I20130926000381 |
| Provider Name | Evelyn K Mercier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326166869 PECOS PAC ID: 0446480396 Enrollment ID: I20140220001479 |
| Provider Name | Ruth Ann Parish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134293251 PECOS PAC ID: 8729218714 Enrollment ID: I20140314000153 |
| Provider Name | Ying Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205126737 PECOS PAC ID: 5890918205 Enrollment ID: I20140603000540 |
| Provider Name | Ravyn B Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730417940 PECOS PAC ID: 6406070218 Enrollment ID: I20140618001192 |
| Provider Name | Cindy Kiefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003232794 PECOS PAC ID: 5496979049 Enrollment ID: I20140623000120 |
| Provider Name | Shawn Marie Madziwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154737534 PECOS PAC ID: 7416175534 Enrollment ID: I20140902000871 |
| Provider Name | Daniel W Ng |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932441078 PECOS PAC ID: 6608013677 Enrollment ID: I20141203000039 |
| Provider Name | Stephanie D Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548676752 PECOS PAC ID: 0648592303 Enrollment ID: I20141208001203 |
| Provider Name | Sedigheh Dashtestani |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215351911 PECOS PAC ID: 2769704147 Enrollment ID: I20141215001449 |
| Provider Name | Nancy L Foote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912340381 PECOS PAC ID: 5395068084 Enrollment ID: I20150105001491 |
| Provider Name | Jessica B England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801141486 PECOS PAC ID: 3870748973 Enrollment ID: I20150409000025 |
| Provider Name | Suzanne H Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285836783 PECOS PAC ID: 0840464285 Enrollment ID: I20150601002258 |
| Provider Name | Jehan Zeynep Budak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023384229 PECOS PAC ID: 3577880236 Enrollment ID: I20150603000261 |
| Provider Name | Esker M Arvanetes Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073625547 PECOS PAC ID: 6507024924 Enrollment ID: I20150629000221 |
| Provider Name | Laura B Bovee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063787448 PECOS PAC ID: 3375867138 Enrollment ID: I20150727002843 |
| Provider Name | Michelle Renae Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114282787 PECOS PAC ID: 3870721723 Enrollment ID: I20150914003006 |
| Provider Name | Deeanna K Maughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316207707 PECOS PAC ID: 0648411850 Enrollment ID: I20151014000355 |
| Provider Name | Rena C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184909079 PECOS PAC ID: 1153594692 Enrollment ID: I20151125001741 |
| Provider Name | Julie B Foerster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073981775 PECOS PAC ID: 0648571273 Enrollment ID: I20151223001151 |
| Provider Name | Erin E Van Nieulande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376918078 PECOS PAC ID: 3072816065 Enrollment ID: I20160126000749 |
| Provider Name | Lori B Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194973123 PECOS PAC ID: 9537291489 Enrollment ID: I20160406002408 |
| Provider Name | Eve Lake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932542883 PECOS PAC ID: 8628398427 Enrollment ID: I20160727002802 |
| Provider Name | Archana Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487094041 PECOS PAC ID: 8921318403 Enrollment ID: I20160818002206 |
| Provider Name | Dana Shuey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225407562 PECOS PAC ID: 5799085395 Enrollment ID: I20160926002219 |
| Provider Name | David Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457410110 PECOS PAC ID: 2769506047 Enrollment ID: I20161020000932 |
| Provider Name | Jasanjot J Parmar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255772406 PECOS PAC ID: 9638457849 Enrollment ID: I20161021002148 |
| Provider Name | Simi Kohli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376972711 PECOS PAC ID: 6204115215 Enrollment ID: I20161115002198 |
| Provider Name | Andrew P Kokesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497107122 PECOS PAC ID: 9335429869 Enrollment ID: I20161129001821 |
| Provider Name | Jeannette M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740564103 PECOS PAC ID: 1355514951 Enrollment ID: I20170214001958 |
| Provider Name | Aristotle Sun |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1821354069 PECOS PAC ID: 4284937731 Enrollment ID: I20170829003125 |
| Provider Name | Karen A Quaynor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407116593 PECOS PAC ID: 1052636792 Enrollment ID: I20170926001634 |
| Provider Name | Steven C Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487685731 PECOS PAC ID: 1153324538 Enrollment ID: I20171109001262 |
| Provider Name | Emily J Andrews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699285494 PECOS PAC ID: 6002173168 Enrollment ID: I20171127003003 |
| Provider Name | Lavonne M Searle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679083232 PECOS PAC ID: 3870851918 Enrollment ID: I20171220000025 |
| Provider Name | Karen M Foley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518238625 PECOS PAC ID: 2163780024 Enrollment ID: I20171222000561 |
| Provider Name | Amy L Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801300538 PECOS PAC ID: 1658631130 Enrollment ID: I20180131002636 |
| Provider Name | Emily C Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861820425 PECOS PAC ID: 9436410396 Enrollment ID: I20180312000026 |
| Provider Name | George S Hammond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255364618 PECOS PAC ID: 4183986375 Enrollment ID: I20180328001936 |
| Provider Name | Kiran Bhandari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487035630 PECOS PAC ID: 0840594552 Enrollment ID: I20180717002114 |
| Provider Name | Adrienne E Shapiro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902175862 PECOS PAC ID: 6103137476 Enrollment ID: I20180720002559 |
| Provider Name | Baljinder Dhillon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326428723 PECOS PAC ID: 0840540365 Enrollment ID: I20180904003360 |
| Provider Name | Ashlin E Mountjoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154715068 PECOS PAC ID: 6103134242 Enrollment ID: I20180919003393 |
| Provider Name | Aaron D Brinklow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326434531 PECOS PAC ID: 4486906955 Enrollment ID: I20181010003494 |
| Provider Name | Jinhee Binder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558842922 PECOS PAC ID: 1254675549 Enrollment ID: I20181127001223 |
| Provider Name | Jennifer K Nathans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528543634 PECOS PAC ID: 8022352046 Enrollment ID: I20181203001290 |
| Provider Name | Quyen H Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104315167 PECOS PAC ID: 5597003517 Enrollment ID: I20190215001858 |
| Provider Name | Denise M Serfas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841644242 PECOS PAC ID: 1658614490 Enrollment ID: I20190520001811 |
| Provider Name | Brendan R Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558855791 PECOS PAC ID: 5991031320 Enrollment ID: I20190723003474 |
| Provider Name | Lauren E Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871058073 PECOS PAC ID: 1658609987 Enrollment ID: I20190826000767 |
| Provider Name | Marissa L Darling |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699131284 PECOS PAC ID: 0840521647 Enrollment ID: I20191009000887 |
| Provider Name | Lisa Shea Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578570743 PECOS PAC ID: 7719142876 Enrollment ID: I20191024001505 |
| Provider Name | Reginah I Nampinga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104394097 PECOS PAC ID: 4183956964 Enrollment ID: I20191028002468 |
| Provider Name | Elizabeth E Gore |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083186837 PECOS PAC ID: 2062744717 Enrollment ID: I20191029002794 |
| Provider Name | Elise M Gelston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427411834 PECOS PAC ID: 3678863933 Enrollment ID: I20191126002364 |
| Provider Name | Kim E Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750889168 PECOS PAC ID: 8729412911 Enrollment ID: I20191220001747 |
| Provider Name | Lucia Kwong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386050151 PECOS PAC ID: 3476987496 Enrollment ID: I20191230000989 |
| Provider Name | Quin E Chadwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629072293 PECOS PAC ID: 0042305906 Enrollment ID: I20200115001001 |
| Provider Name | Amy W Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053639070 PECOS PAC ID: 0840588505 Enrollment ID: I20200131001358 |
| Provider Name | June S Longway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225023559 PECOS PAC ID: 8123038965 Enrollment ID: I20200219001893 |
| Provider Name | Clint M Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427405034 PECOS PAC ID: 3779875968 Enrollment ID: I20200409001390 |
| Provider Name | Elizabeth L York |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902992936 PECOS PAC ID: 2860456324 Enrollment ID: I20200612001048 |
| Provider Name | Jacob C Memmott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497370001 PECOS PAC ID: 6103241146 Enrollment ID: I20200803002243 |
| Provider Name | Safa Fehri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104447598 PECOS PAC ID: 5395160741 Enrollment ID: I20200807000879 |
| Provider Name | Rachel Skalina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366861494 PECOS PAC ID: 1850667049 Enrollment ID: I20200807001341 |
| Provider Name | Joseph N Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295749729 PECOS PAC ID: 9133184575 Enrollment ID: I20200819004131 |
| Provider Name | Jolie G Keenan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407236417 PECOS PAC ID: 4587934161 Enrollment ID: I20201006001116 |
| Provider Name | Derby S Rousseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588278154 PECOS PAC ID: 9032522131 Enrollment ID: I20210111000668 |
| Provider Name | Melanie Hashagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871060053 PECOS PAC ID: 4880935667 Enrollment ID: I20210112002923 |
| Provider Name | Thomas Ing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184070393 PECOS PAC ID: 0345654182 Enrollment ID: I20210205001965 |
| Provider Name | Samantha K Wilford |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649858762 PECOS PAC ID: 1557770005 Enrollment ID: I20210512003223 |
| Provider Name | Mikaela A Guimaraes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396310835 PECOS PAC ID: 4981005196 Enrollment ID: I20210625000683 |
| Provider Name | Susana De La Fuente |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639787765 PECOS PAC ID: 9931504800 Enrollment ID: I20210817000199 |
| Provider Name | Sarah A Gruber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639602030 PECOS PAC ID: 3577832781 Enrollment ID: I20210913003039 |
| Provider Name | Marisa E Gross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376807503 PECOS PAC ID: 2567775984 Enrollment ID: I20210921001795 |
| Provider Name | Song Y Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568852317 PECOS PAC ID: 3779891973 Enrollment ID: I20211011001840 |
| Provider Name | Ellery Martin Allonier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194302091 PECOS PAC ID: 6800289760 Enrollment ID: I20220217001035 |
| Provider Name | Michael J Moffatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669451936 PECOS PAC ID: 5294738670 Enrollment ID: I20220330001637 |
| Provider Name | Tushar Garg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184104218 PECOS PAC ID: 8325475775 Enrollment ID: I20220824000453 |
| Provider Name | Anna Schell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518341734 PECOS PAC ID: 1153637608 Enrollment ID: I20220912002047 |
| Provider Name | Hannah Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295398667 PECOS PAC ID: 4082099593 Enrollment ID: I20220920002561 |
| Provider Name | Jacqueline B Berglass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427611102 PECOS PAC ID: 8820323942 Enrollment ID: I20221116001260 |
| Provider Name | Heena N Joshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386171072 PECOS PAC ID: 2668724246 Enrollment ID: I20221116001639 |
| Provider Name | Robert N Malinak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619462520 PECOS PAC ID: 4981952116 Enrollment ID: I20221229001575 |
| Provider Name | Aarati Ghimire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053991950 PECOS PAC ID: 0941671317 Enrollment ID: I20230123000366 |
| Provider Name | Pramoj Adhikari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396315446 PECOS PAC ID: 0244601532 Enrollment ID: I20230124003379 |
| Provider Name | Koichi A Kikushima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326757212 PECOS PAC ID: 2466824776 Enrollment ID: I20230215001430 |
| Provider Name | Neil R Postier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033709712 PECOS PAC ID: 8325439946 Enrollment ID: I20230412000801 |
| Provider Name | Binita Chandran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487941944 PECOS PAC ID: 9234352329 Enrollment ID: I20230412001865 |
| Provider Name | Anthony Joseph Koch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821676669 PECOS PAC ID: 7911393228 Enrollment ID: I20230519002442 |
| Provider Name | Hannah Cenci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285335448 PECOS PAC ID: 2668839937 Enrollment ID: I20230531002648 |
| Provider Name | Jennifer A Davis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700420908 PECOS PAC ID: 5395102610 Enrollment ID: I20230601000714 |
| Provider Name | Aleza Matayoshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104962133 PECOS PAC ID: 1456414531 Enrollment ID: I20230711002642 |
| Provider Name | Jennings Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932552403 PECOS PAC ID: 3375809924 Enrollment ID: I20230711002902 |
| Provider Name | Anna S Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184259095 PECOS PAC ID: 7315375417 Enrollment ID: I20230830003890 |
| Provider Name | Karan M Harkness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982037636 PECOS PAC ID: 8527292036 Enrollment ID: I20230901003237 |
| Provider Name | Mallory R Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689354466 PECOS PAC ID: 8123482569 Enrollment ID: I20230918003856 |
| Provider Name | Katherine Elise Strandberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639708076 PECOS PAC ID: 0648626739 Enrollment ID: I20231025003243 |
| Provider Name | Amanda N Iraqi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487335188 PECOS PAC ID: 3577919612 Enrollment ID: I20231026001685 |
| Provider Name | Heather A Morphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912908294 PECOS PAC ID: 4385624030 Enrollment ID: I20231026001839 |
| Provider Name | Tracy Lee Baum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861437980 PECOS PAC ID: 9335225770 Enrollment ID: I20231107003111 |
| Provider Name | Anastasia S Bakulina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407464993 PECOS PAC ID: 5496166472 Enrollment ID: I20231107003450 |
| Provider Name | Tayler A Hentges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578245049 PECOS PAC ID: 7719335090 Enrollment ID: I20231127002799 |
| Provider Name | Bridget M Malato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184392664 PECOS PAC ID: 3173973955 Enrollment ID: I20231219003323 |
| Provider Name | Nicholas E Brideau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750994877 PECOS PAC ID: 0143670927 Enrollment ID: I20231219003456 |
| Provider Name | Gia L Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043085293 PECOS PAC ID: 2062864200 Enrollment ID: I20240123003988 |
| Provider Name | Heather R Jaynes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548363666 PECOS PAC ID: 2668817784 Enrollment ID: I20240228004043 |
| Provider Name | Rebecca A Stradling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275087256 PECOS PAC ID: 9234574203 Enrollment ID: I20240229001314 |
| Provider Name | Breauna L Berg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801274915 PECOS PAC ID: 0244675221 Enrollment ID: I20240229001669 |
| Provider Name | Deborah D Holland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982073029 PECOS PAC ID: 4789029778 Enrollment ID: I20240229002109 |
| Provider Name | Hengyu J Chi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205357571 PECOS PAC ID: 5597100594 Enrollment ID: I20240229002213 |
| Provider Name | Danny K Machado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568572683 PECOS PAC ID: 1052757259 Enrollment ID: I20240311001720 |
| Provider Name | Chrisanne Kuczmarski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093021925 PECOS PAC ID: 7315246915 Enrollment ID: I20240311002058 |
| Provider Name | Cecilia Sambou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437928959 PECOS PAC ID: 0244676377 Enrollment ID: I20240312002391 |
Pmg Nw Wa Mc Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12800 Bothell Everett Hwy, Suite 120, Everett, WA 98208 Phone: 425-316-5150 Fax: 425-225-1006 | |
Western Wa Medical Group, Inc. Dept Of Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4225 Hoyt Ave Ste A, Everett, WA 98203 Phone: 425-259-3122 Fax: 425-252-9860 | |
Vera Whole Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4933 Evergreen Way, Everett, WA 98203 Phone: 425-903-3070 Fax: 425-953-5768 | |
Fqhc Enhancement Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5929 Evergreen Way, Everett, WA 98203 Phone: 425-789-3700 Fax: 425-789-3754 | |
Molina Medical Group Of Southern California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3322 Broadway, Suite 200, Everett, WA 98201 Phone: 425-249-4922 Fax: 877-860-2284 | |
Kidney And Arthritis Clinic P S Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3218 Nassau St, Everett, WA 98201 Phone: 425-259-9225 Fax: 425-339-3381 | |
Providence Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12800 Bothell Everett Hwy, Suite 160, Everett, WA 98208 Phone: 425-316-5180 Fax: 425-316-5181 |