PROVIDENCE HEALTH & SERVICES-WA
NPI 1306097415
Family Medicine - Addiction Medicine in Everett, WA

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

The NPI number for Providence Health & Services-Wa is 1306097415. It was assigned to this organization in the NPPES registry on October 7, 2008.

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

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Active since October 07, 2008

916 PACIFIC AVE, 1 SOUTH, EVERETT, WA 98201(425) 258-7390(425) 258-7379 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2025, Feb 25, 2025, Jan 11, 2018 (3 updates tracked since 2018).

On this page

About Providence Health & Services-wa NPPES

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

PROVIDENCE HEALTH & SERVICES-WA (NPI 1306097415) is a healthcare organization registered as an addiction medicine in Everett, Washington and active in the NPI registry since October 2008. The organization lists Donald Wayne Anderson, Asst Secretary-enrollment, as its authorized official.

NPPES Registry Identity

NPI1306097415

Entity TypeOrganization

Primary Taxonomy207QA0401X

Legal Business NamePROVIDENCE HEALTH & SERVICES-WA

Location Address916 PACIFIC AVE, 1 SOUTHEverett, WA 98201-4147

Mailing AddressPo Box 31001-4110Pasadena, CA 91110-4110

Phone(425) 258-7390

Fax(425) 258-7379

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAsst Secretary-enrollment · (425) 358-9786

Enumeration DateOctober 7, 2008

Last NPPES UpdateMay 7, 20253 updates tracked since enumeration

NPPES CertifiedMay 7, 2025

✔ NPI 1306097415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

916 PACIFIC AVE, Everett, WA 98201

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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 ›

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.

NANA BINEY MD

Obstetrics & Gynecology

916 PACIFIC AVE
EVERETT, WA 98201

Snohomish County (425) 258-7550

MRS. OLIVIA EISNER ARNP, CNM, IBCLC, RD

Advanced Practice Midwife

916 PACIFIC AVE, 2ND FLOOR
EVERETT, WA 98201

Snohomish County (425) 303-6500

MR. COLLEEN THOMAS OTR

Occupational Therapist

916 PACIFIC AVE
EVERETT, WA 98201

Snohomish County (425) 258-7123

BETHANY SMITH GOPALAKRISHNAN PT, DPT

Physical Therapist

916 PACIFIC AVE
EVERETT, WA 98201

Snohomish County (425) 259-5508

JULIA S. WIKLOF ARNP

Advanced Practice Midwife

916 PACIFIC AVE, 7TH FLOOR
EVERETT, WA 98201

Snohomish County (425) 303-6500

KIMBERLY RUTH POPPE ARNP

Nurse Practitioner

916 PACIFIC AVE, FIRST FLOOR
EVERETT, WA 98201

Snohomish County (425) 258-7390

WENDI NAOMI LOPES MS CF-SLP

Speech-Language Pathologist

916 PACIFIC AVE
EVERETT, WA 98201

Snohomish County (425) 258-7836

CHRISTINE BUCK

Occupational Therapist

916 PACIFIC AVE
EVERETT, WA 98201

Snohomish County (425) 261-3825

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 1306097415. It was assigned to this organization in the NPPES registry on October 7, 2008.

Where is Providence Health & Services-Wa located?

Providence Health & Services-Wa is located at 916 Pacific Ave 1 South, Everett, WA 98201. The listed phone number is (425) 258-7390.

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

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

What insurance does Providence Health & Services-Wa accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services-Wa 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-Wa was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.