PROVIDENCE HEALTH & SERVICES - WA
NPI 1760633879
Neurological Surgery in Everett, WA

Active since October 07, 2008
1330 ROCKEFELLER AVE, SUITE 220, EVERETT, WA 98201(425) 261-4920(425) 261-4988 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2025, Aug 17, 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 1760633879), doing business as Providence Physician Group - Everett Neuro, is a healthcare organization registered as a neurological surgery in Everett, Washington and active in the NPI registry since October 2008. The organization lists Donald W Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1760633879
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WA
Location Address1330 ROCKEFELLER AVE, SUITE 220Everett, WA 98201-1684
Mailing AddressPo Box 3360Portland, OR 97208-3360 · (503) 215-0700 · Fax (425) 276-3215
Fax(425) 261-4988
Organization SubpartNo
Authorized OfficialDonald W AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateOctober 7, 2008
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
NPI 1760633879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1330 ROCKEFELLER AVE, Everett, WA 98201

Other Names 1

Doing Business AsProvidence Physician Group - Everett Neuro

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.

Physician Assistant (Surgical)
1330 ROCKEFELLER AVE, SUITE 400
EVERETT, WA 98201
Physical Medicine & Rehabilitation
1330 ROCKEFELLER AVE, SUITE 230
EVERETT, WA 98201
Nurse Practitioner (Gerontology)
1330 ROCKEFELLER AVE, SUITE 230
EVERETT, WA 98201
Surgery
1330 ROCKEFELLER AVE
EVERETT, WA 98201
Internal Medicine (Nephrology)
1330 ROCKEFELLER AVE, SUITE 450
EVERETT, WA 98201
Neurological Surgery
1330 ROCKEFELLER AVE, SUITE 220
EVERETT, WA 98201
Physician Assistant
1330 ROCKEFELLER AVE, STE 400
EVERETT, WA 98201
Surgery (Surgical Oncology)
1330 ROCKEFELLER AVE
EVERETT, WA 98201

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 1760633879. It was assigned to this organization in the NPPES registry on October 7, 2008. The provider is doing business as Providence Physician Group - Everett Neuro.

Where is Providence Health & Services - Wa located?

Providence Health & Services - Wa is located at 1330 Rockefeller Ave Suite 220, Everett, WA 98201. The listed phone number is (425) 261-4920.

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

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Wa was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.