PROVIDENCE HEALTH & SERVICES - WA
NPI 1144471533
Neurological Surgery in Everett, WA

Active since October 04, 2008
2320 RUCKER AVE, SUITE A, EVERETT, WA 98201(425) 259-5121(425) 252-1322 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Health & Services - Wa NPPES

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

PROVIDENCE HEALTH & SERVICES - WA (NPI 1144471533) is a healthcare organization registered as a neurological surgery 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

NPI1144471533
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WA
Location Address2320 RUCKER AVE, SUITE AEverett, WA 98201-2723
Mailing AddressPo Box 34439Seattle, WA 98124-1439 · (425) 525-6652 · Fax (425) 525-6700
Fax(425) 252-1322
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateOctober 4, 2008
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
NPI 1144471533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
2320 RUCKER AVE, Everett, WA 98201

Other Names 1

Other NameProvidence Physician Group - Cranial 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

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Surgical)
2320 RUCKER AVE
EVERETT, WA 98201
Counselor (Mental Health)
2320 RUCKER AVE, SUITE 203
EVERETT, WA 98201

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 1144471533. It was assigned to this organization in the NPPES registry on October 4, 2008. The provider is also known as Providence Physician Group - Cranial Clinic.

Where is Providence Health & Services - Wa located?

Providence Health & Services - Wa is located at 2320 Rucker Ave Suite A, Everett, WA 98201. The listed phone number is (425) 259-5121.

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

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

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.