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PROVIDENCE REGIONAL CANCER PARTNERSHIP EVERETT
NPI 1518019603
Durable Medical Equipment & Medical Supplies in Everett, WA

Active since January 17, 2007CLIA 50D1101177 · Certificate of Compliance
1717 13TH ST, EVERETT, WA 98201(425) 297-5500 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2024, Jan 19, 2016 (2 updates tracked since 2016).

About Providence Regional Cancer Partnership Everett NPPES

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

PROVIDENCE REGIONAL CANCER PARTNERSHIP EVERETT (NPI 1518019603) is a healthcare organization registered as a durable medical equipment & medical supplies in Everett, Washington and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists George Go, Board President, as its authorized official.

NPPES Registry Identity

NPI1518019603
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameOPTUM CARE WASHINGTON PLLC
Location Address1717 13TH STEverett, WA 98201-1621
Mailing AddressPo Box 5127Everett, WA 98206-5127 · (425) 297-5500
Phone(425) 297-5500
Organization SubpartYesParent: Everett Physicians, Inc. P.s.
Authorized OfficialGeorge GoBoard President · (425) 259-0966
Enumeration DateJanuary 17, 2007
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1518019603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 50D1101177 (WA)
1717 13TH ST, Everett, WA 98201
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Other Names 1

Other NameProvidence Regional Cancer Partnership Everett

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D1101177

Optum Care Washington, PLLC · Everett, WA
Active · expires Apr 4, 2028
CLIA Number50D1101177
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2009
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDana C. Wolinsky
Laboratory Phone(425) 297-5500
Laboratory LocationOptum Care Washington, PLLC1717 13th St, Everett, WA 98201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

WESTERN WASHINGTON MEDICAL GROUP
Internal Medicine (Hematology & Oncology)
1717 13TH ST, SUITE 300
EVERETT, WA 98201
Snohomish County (425) 297-5500
GRANT LOVELL
Radiologic Technologist (Radiation Therapy)
1717 13TH ST
EVERETT, WA 98201
Snohomish County (425) 297-5590
DR. MENG ZHAO M.D.
Internal Medicine (Hematology & Oncology)
1717 13TH ST
EVERETT, WA 98201
Snohomish County (425) 297-5560
LISHI SUN MD
Internal Medicine (Hematology & Oncology)
1717 13TH ST
EVERETT, WA 98201
Snohomish County (425) 297-5500
ZAYNAH ALI
Pharmacist
1717 13TH ST
EVERETT, WA 98201
Snohomish County (425) 297-5571
MRS. MARTINA P. BLOCK ARNP, DNP
Nurse Practitioner
1717 13TH ST
EVERETT, WA 98201
Snohomish County (425) 297-5560
JEDEDIAH JOSEPH DOANE
Hospitalist
1717 13TH ST
EVERETT, WA 98201
Snohomish County (425) 297-5560
DR. RICHARD GOPEZ ANCHETA M.D.
Internal Medicine (Medical Oncology)
1717 13TH ST
EVERETT, WA 98201
Snohomish County (425) 297-5500

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 Optum Care Washington PLLC's NPI number?

The NPI number for Optum Care Washington PLLC is 1518019603. It was assigned to this organization in the NPPES registry on January 17, 2007. The provider is also known as Providence Regional Cancer Partnership Everett.

Where is Optum Care Washington PLLC located?

Optum Care Washington PLLC is located at 1717 13th St, Everett, WA 98201. The listed phone number is (425) 297-5500.

What is Optum Care Washington PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Optum Care Washington PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D1101177) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Optum Care Washington PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Optum Care Washington PLLC 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 Optum Care Washington PLLC was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.