PROVIDENCE HEALTH & SERVICES - WA
NPI 1003050709
General Practice in Mukilteo, WA

Q: What is Providence Health & Services - Wa's NPI number?

The NPI number for Providence Health & Services - Wa is 1003050709. It was assigned to this organization in the NPPES registry on April 24, 2009. The provider is doing business as PMG NW WA H P Urgent Care.

Q: What is Providence Health & Services - Wa's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since April 24, 2009

4112 HARBOUR POINTE BLVD SW, SUITE100, MUKILTEO, WA 98275(425) 347-6350(425) 347-6335 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Providence Health & Services - Wa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES - WA (NPI 1003050709), doing business as Pmg Nw Wa H P Urgent Care, is a healthcare organization registered as a general practice in Mukilteo, Washington and active in the NPI registry since April 2009. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1003050709

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - WA

Location Address4112 HARBOUR POINTE BLVD SW, SUITE100Mukilteo, WA 98275-5457

Mailing AddressPo Box 34439Seattle, WA 98124-1439 · (425) 316-5469 · Fax (425) 316-5484

Phone(425) 347-6350

Fax(425) 347-6335

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateApril 24, 2009

Last NPPES UpdateJuly 25, 2025

NPPES CertifiedJuly 25, 2025

✔ NPI 1003050709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

4112 HARBOUR POINTE BLVD SW, Mukilteo, WA 98275

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Other Names 1

Doing Business AsPmg Nw Wa H P Urgent Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Family Medicine

4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 98275

Snohomish County (425) 347-6330

MRS. ROLANA O MESIAS FNP-BC, RN

Nurse Practitioner (Family)

4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 98275

Snohomish County (425) 347-6330

DR. DARRELL EUGENE CLINE DDS

Dentist (General Practice)

4112 HARBOUR POINTE BLVD SW, SUITE 200
MUKILTEO, WA 98275

Snohomish County (425) 493-1300

POONAM RAUNIYAR MD

Pediatrics

4112 HARBOUR POINTE BLVD SW, STE 100
MUKILTEO, WA 98275

Snohomish County (425) 347-6330

SABRINA MIDDLETON MD

Pediatrics

4112 HARBOUR POINTE BLVD SW, STE 100
MUKILTEO, WA 98275

Snohomish County (425) 347-6330

DR. RAJASRI DHARANI PALEPU MD

Internal Medicine

4112 HARBOUR POINTE BLVD SW
MUKILTEO, WA 98275

Snohomish County (425) 347-6330

KATHERINE D. BUMSTEAD MD

Family Medicine

4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 98275

Snohomish County (425) 347-6330

PROVIDENCE HEALTH & SERVICES - WA

Internal Medicine (Cardiovascular Disease)

4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 98275

Snohomish County (425) 347-6330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services - Wa's NPI number?

The NPI number for Providence Health & Services - Wa is 1003050709. It was assigned to this organization in the NPPES registry on April 24, 2009. The provider is doing business as PMG NW WA H P Urgent Care.

Where is Providence Health & Services - Wa located?

Providence Health & Services - Wa is located at 4112 Harbour Pointe Blvd SW Suite100, Mukilteo, WA 98275. The listed phone number is (425) 347-6350.

What is Providence Health & Services - Wa's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Wa was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.