Providence Health & Services - Washington | |
1830 Bickford Ave Suite 211 Snohomish WA 98290-1749 | |
(360) 668-1820 | |
(360) 668-1825 |
Full Name | Providence Health & Services - Washington |
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Speciality | General Practice |
Location | 1830 Bickford Ave, Snohomish, Washington |
Authorized Official Name and Position | Donald W Anderson (ASSISTANT SECRETARY OF ENROLLMENTS) |
Authorized Official Contact | 4253589786 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Providence Health & Services - Washington Po Box 31001-4114 Pasadena CA 91110-4114 Ph: (425) 358-9786 | Providence Health & Services - Washington 1830 Bickford Ave Suite 211 Snohomish WA 98290-1749 Ph: (360) 668-1820 |
NPI Number | 1770877227 |
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Provider Enumeration Date | 06/01/2011 |
Last Update Date | 05/14/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770877227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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