PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1013169507
General Practice in Everett, WA

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

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

Active since October 16, 2008

12800 BOTHELL EVERETT HWY, SUITE 120, EVERETT, WA 98208(425) 316-5150(425) 225-1006 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2025, Mar 20, 2025, Mar 1, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1013169507), doing business as Pmg Nw Wa Mc Walk In Clinic, is a healthcare organization registered as a general practice in Everett, Washington and active in the NPI registry since October 2008. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1013169507

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON

Location Address12800 BOTHELL EVERETT HWY, SUITE 120Everett, WA 98208-6642

Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (425) 358-9786

Phone(425) 316-5150

Fax(425) 225-1006

Organization SubpartNo

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

Enumeration DateOctober 16, 2008

Last NPPES UpdateJuly 24, 20254 updates tracked since enumeration

NPPES CertifiedJuly 24, 2025

✔ NPI 1013169507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedPediatricsTaxonomy 208000000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

12800 BOTHELL EVERETT HWY, Everett, WA 98208

Open in Google Maps ↗

Other Names 1

Doing Business AsPmg Nw Wa Mc Walk In Clinic

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Leave this field empty

Other Providers at the Same Location NPPES 20

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

DR. TASNEEM ABBAS SHIKARY MD

Otolaryngology

12800 BOTHELL EVERETT HWY
EVERETT, WA 98208

Snohomish County (425) 316-5100

RANDALL S. REIMER MD

Internal Medicine

12800 BOTHELL EVERETT HWY, SUITE 180
EVERETT, WA 98208

Snohomish County (425) 316-5130

THERESA MARIE SKURNIK ARNP

Nurse Practitioner

12800 BOTHELL EVERETT HWY
EVERETT, WA 98208

Snohomish County (425) 316-5150

CARL GANNON PA

Nurse Practitioner (Family)

12800 BOTHELL EVERETT HWY
EVERETT, WA 98208

Snohomish County (425) 316-5180

LEE R ARGUE MD

Family Medicine

12800 BOTHELL EVERETT HWY, SUITE 160
EVERETT, WA 98208

Snohomish County (425) 316-5180

DR. FARIHA S. FARID D.O.

Otolaryngology

12800 BOTHELL EVERETT HWY, SUITE 110
EVERETT, WA 98208

Snohomish County (425) 316-5100

GARY DALE MONTGOMERY PA-C

Physician Assistant

12800 BOTHELL EVERETT HWY, STE A
EVERETT, WA 98208

Snohomish County (425) 316-5150

DAVID L. ERICKSON MD

Internal Medicine

12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208

Snohomish County (425) 316-5150

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 - Washington's NPI number?

The NPI number for Providence Health & Services - Washington is 1013169507. It was assigned to this organization in the NPPES registry on October 16, 2008. The provider is doing business as PMG NW WA MC Walk In Clinic.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 12800 Bothell Everett Hwy Suite 120, Everett, WA 98208. The listed phone number is (425) 316-5150.

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

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

What insurance does Providence Health & Services - Washington accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services - Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Washington was last updated on July 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.