Providence Health & Services - Washington
NPI 1306201488ActiveOrganization· General Practice· Mukilteo, WA
General Practice in Mukilteo, Washington, registered in NPPES in December 2015. The authorized official on file is Donald Wayne Anderson, Assistant Secretary - Enrollment.
Overview
| NPI | 1306201488 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2015 |
| Last updated in NPPES | Jul 31, 2025 |
| Certified by provider | Jul 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other General Practice providers in Mukilteo
- 1003050709
- 1134462120