PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1063663458
Family Medicine in Marysville, WA

Active since October 04, 2008
11603 STATE AVE, SUITE G, MARYSVILLE, WA 98271(360) 658-6800(360) 658-6819 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2025, Mar 20, 2025, Mar 11, 2021 (3 updates tracked since 2021).

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1063663458), doing business as Pmg Nw Wa Marysville Clinic, is a healthcare organization registered as a family medicine in Marysville, 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

NPI1063663458
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address11603 STATE AVE, SUITE GMarysville, WA 98271-8465
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (425) 358-9786
Fax(360) 658-6819
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateOctober 4, 2008
Last NPPES UpdateMay 12, 20253 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1063663458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
11603 STATE AVE, Marysville, WA 98271

Other Names 1

Doing Business AsPmg Nw Wa Marysville 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

Other Providers at the Same Location NPPES 4

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

Family Medicine
11603 STATE AVE, STE G
MARYSVILLE, WA 98271
Physician Assistant
11603 STATE AVE, SUITE G
MARYSVILLE, WA 98271
Internal Medicine
11603 STATE AVE, SUITE G
MARYSVILLE, WA 98271
Family Medicine
11603 STATE AVE, STE G
MARYSVILLE, WA 98271

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 1063663458. It was assigned to this organization in the NPPES registry on October 4, 2008. The provider is doing business as PMG NW WA Marysville Clinic.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 11603 State Ave Suite G, Marysville, WA 98271. The listed phone number is (360) 658-6800.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.