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PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1275785669
Radiologic Technologist - Bone Densitometry in Everett, WA

Active since October 16, 2008
12800 BOTHELL EVERETT HWY, SUITE 260B, EVERETT, WA 98208(425) 316-5425(425) 316-5427 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1275785669), doing business as Providence Physician Group Dexascan Phcc, is a healthcare organization registered as a bone densitometry 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

NPI1275785669
Entity TypeOrganization
Primary Taxonomy2471B0102X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address12800 BOTHELL EVERETT HWY, SUITE 260BEverett, WA 98208-6642
Mailing Address909 N Broadway, Pbo/credentialingEverett, WA 98201-1409 · (425) 317-0246 · Fax (425) 317-0291
Phone(425) 316-5425
Fax(425) 316-5427
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateOctober 16, 2008
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1275785669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiologic Technologist · Bone DensitometryTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code2471B0102X
Definition
A radiologic technologist who specializes in bone densitometry and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in performance of bone density imaging, exam techniques, equipment protocols, radiation safety, and patient care.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
12800 BOTHELL EVERETT HWY, Everett, WA 98208
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Other Names 1

Doing Business AsProvidence Physician Group Dexascan Phcc

Other Identifiers 1

Other1093896854Old Npi

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 PacificSource Health Plans, Providence Health Plan.Insurance ›

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
PROVIDENCE HEALTH & SERVICES - WASHINGTON
General Practice
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Snohomish County (425) 316-5150
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

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 1275785669. It was assigned to this organization in the NPPES registry on October 16, 2008. The provider is doing business as Providence Physician Group Dexascan PHCC.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 12800 Bothell Everett Hwy Suite 260B, Everett, WA 98208. The listed phone number is (425) 316-5425.

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

The primary specialty registered for this NPI is Radiologic Technologist, specializing in Bone Densitometry, with taxonomy code 2471B0102X.

What insurance does Providence Health & Services - Washington accept?

Health plans from PacificSource Health Plans 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 31, 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.