PROVIDENCE HEALTH & SERVICES - WA
NPI 1669616363
Internal Medicine - Cardiovascular Disease in Mukilteo, WA

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

The NPI number for Providence Health & Services - Wa is 1669616363. It was assigned to this organization in the NPPES registry on April 24, 2009. The provider is doing business as Providence Physician Group Harbour Pointe Cardiology.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since April 24, 2009

4112 HARBOUR POINTE BLVD SW, SUITE 100, MUKILTEO, WA 98275(425) 347-6330(425) 347-6335 Get Directions Write a Review

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

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About Providence Health & Services - Wa NPPES

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

PROVIDENCE HEALTH & SERVICES - WA (NPI 1669616363), doing business as Providence Physician Group Harbour Pointe Cardiology, is a healthcare organization registered as a cardiovascular disease in Mukilteo, Washington and active in the NPI registry since April 2009. The organization lists Donald Wayne Anderson, Assistant Secretary For Enrollment, as its authorized official.

NPPES Registry Identity

NPI1669616363

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - WA

Location Address4112 HARBOUR POINTE BLVD SW, SUITE 100Mukilteo, WA 98275-5457

Mailing AddressPo Box 34439Seattle, WA 98124-1439 · (425) 525-6652 · Fax (425) 525-6700

Phone(425) 347-6330

Fax(425) 347-6335

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAssistant Secretary For Enrollment · (425) 358-9786

Enumeration DateApril 24, 2009

Last NPPES UpdateJuly 25, 2025

NPPES CertifiedJuly 25, 2025

✔ NPI 1669616363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

4112 HARBOUR POINTE BLVD SW, Mukilteo, WA 98275

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Other Names 1

Doing Business AsProvidence Physician Group Harbour Pointe Cardiology

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 10

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

PROVIDENCE HEALTH & SERVICES - WA

General Practice

4112 HARBOUR POINTE BLVD SW, SUITE100
MUKILTEO, WA 98275

Snohomish County (425) 347-6350

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Family Medicine

4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 98275

Snohomish County (425) 347-6330

MRS. ROLANA O MESIAS FNP-BC, RN

Nurse Practitioner (Family)

4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 98275

Snohomish County (425) 347-6330

DR. DARRELL EUGENE CLINE DDS

Dentist (General Practice)

4112 HARBOUR POINTE BLVD SW, SUITE 200
MUKILTEO, WA 98275

Snohomish County (425) 493-1300

POONAM RAUNIYAR MD

Pediatrics

4112 HARBOUR POINTE BLVD SW, STE 100
MUKILTEO, WA 98275

Snohomish County (425) 347-6330

SABRINA MIDDLETON MD

Pediatrics

4112 HARBOUR POINTE BLVD SW, STE 100
MUKILTEO, WA 98275

Snohomish County (425) 347-6330

DR. RAJASRI DHARANI PALEPU MD

Internal Medicine

4112 HARBOUR POINTE BLVD SW
MUKILTEO, WA 98275

Snohomish County (425) 347-6330

KATHERINE D. BUMSTEAD MD

Family Medicine

4112 HARBOUR POINTE BLVD SW, SUITE 100
MUKILTEO, WA 98275

Snohomish County (425) 347-6330

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 1669616363. It was assigned to this organization in the NPPES registry on April 24, 2009. The provider is doing business as Providence Physician Group Harbour Pointe Cardiology.

Where is Providence Health & Services - Wa located?

Providence Health & Services - Wa is located at 4112 Harbour Pointe Blvd SW Suite 100, Mukilteo, WA 98275. The listed phone number is (425) 347-6330.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

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.