1. Home
  2. Directory
  3. Washington
  4. Mill Creek
  5. Family Medicine
  6. NPI Profile

PROVIDENCE HEALTH & SERVICES- WASHINGTON
NPI 1790014504
Family Medicine in Mill Creek, WA

Active since December 08, 2009
16708 BOTHELL-EVERETT HIGHWAY, SUITE 201, MILL CREEK, WA 98012(425) 482-9020(425) 482-9021 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2025, Mar 21, 2025, Apr 16, 2021 (3 updates tracked since 2021).

About Providence Health & Services- Washington NPPES

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

PROVIDENCE HEALTH & SERVICES- WASHINGTON (NPI 1790014504), doing business as Pmg Nw Wa Mill Creek Commons, is a healthcare organization registered as a family medicine in Mill Creek, Washington and active in the NPI registry since December 2009. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1790014504
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES- WASHINGTON
Location Address16708 BOTHELL-EVERETT HIGHWAY, SUITE 201Mill Creek, WA 98012-6345
Mailing AddressPo Box 3360Portland, OR 97208-3360 · (866) 399-2983
Phone(425) 482-9020
Fax(425) 482-9021
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateDecember 8, 2009
Last NPPES UpdateMay 9, 20253 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
✔ NPI 1790014504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
16708 BOTHELL-EVERETT HIGHWAY, Mill Creek, WA 98012
Open in Google Maps ↗

Other Names 1

Doing Business AsPmg Nw Wa Mill Creek Commons

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

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- Washington's NPI number?

The NPI number for Providence Health & Services- Washington is 1790014504. It was assigned to this organization in the NPPES registry on December 8, 2009. The provider is doing business as PMG NW WA Mill Creek Commons.

Where is Providence Health & Services- Washington located?

Providence Health & Services- Washington is located at 16708 Bothell-Everett Highway Suite 201, Mill Creek, WA 98012. The listed phone number is (425) 482-9020.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services- Washington was last updated on May 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.