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PROVIDENCE HEALTH & SERVICES-WA
NPI 1447547658
Obstetrics & Gynecology in Monroe, WA

Active since July 08, 2011
14692 179TH AVE SE, STE 800, MONROE, WA 98272(425) 258-7550(425) 258-7450 Get Directions Write a Review

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

Record update history: Aug 7, 2025, Sep 7, 2021 (2 updates tracked since 2021).

About Providence Health & Services-wa NPPES

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

PROVIDENCE HEALTH & SERVICES-WA (NPI 1447547658), doing business as Pmg Nw Wa Monroe Ob/gyn, is a healthcare organization registered as an obstetrics & gynecology in Monroe, Washington and active in the NPI registry since July 2011. The organization lists Donald W Anderson, Dir Reimb Reg Strat/asst Sec Enroll, as its authorized official.

NPPES Registry Identity

NPI1447547658
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES-WA
Location Address14692 179TH AVE SE, STE 800Monroe, WA 98272-1162
Mailing AddressPo Box 3360Portland, OR 97208-3360 · (425) 316-5469 · Fax (425) 316-5484
Phone(425) 258-7550
Fax(425) 258-7450
Organization SubpartNo
Authorized OfficialDonald W AndersonDir Reimb Reg Strat/asst Sec Enroll · (425) 358-9786
Enumeration DateJuly 8, 2011
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1447547658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
14692 179TH AVE SE, Monroe, WA 98272
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Other Names 1

Doing Business AsPmg Nw Wa Monroe Ob/gyn

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 12

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

PROVIDENCE HEALTH & SERVICES-WA
Advanced Practice Midwife
14692 179TH AVE SE, STE 800
MONROE, WA 98272
Snohomish County (360) 794-7994
HENRY PETER LUCKEL PHARMACIST
Pharmacist
14692 179TH AVE SE
MONROE, WA 98272
Snohomish County (360) 794-5555
MRS. HARMONY LYNN MCKENNA-CLARK LMP
Specialist
14692 179TH AVE SE, SUITE 400
MONROE, WA 98272
Snohomish County (360) 863-0960
JESSICA KYLLONEN
Occupational Therapist
14692 179TH AVE SE
MONROE, WA 98272
Snohomish County (360) 804-4353
MELISSA DAWN GOLDSMITH LMP
Specialist
14692 179TH AVE SE, SUITE 400
MONROE, WA 98272
Snohomish County (360) 863-0960
FOOT CARE ASSOCIATES PC
Podiatrist
14692 179TH AVE SE
MONROE, WA 98272
Snohomish County (360) 794-1266
PEGGY ANN JACKSON-OMAN
Speech-Language Pathologist
14692 179TH AVE SE
MONROE, WA 98272
Snohomish County (360) 804-2500
MS. NANCY LYNNETTE RUKMAN LMP
Specialist
14692 179TH AVE SE, SUITE 400
MONROE, WA 98272
Snohomish County (360) 863-0960

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 1447547658. It was assigned to this organization in the NPPES registry on July 8, 2011. The provider is doing business as PMG NW WA Monroe OB/GYN.

Where is Providence Health & Services-Wa located?

Providence Health & Services-Wa is located at 14692 179th Ave SE Ste 800, Monroe, WA 98272. The listed phone number is (425) 258-7550.

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

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services-Wa was last updated on August 7, 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.