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Providence Physician Group
Durable Medical Equipment & Medical Supplies in Everett, Washington
NPI 1639258130

Providence Physician Group is a Durable Medical Equipment & Medical Supplies based in Everett, WA. Providence Physician Group practices in Everett, WA. The NPI Number for Providence Physician Group is 1639258130 and holds a License No. (Washington).

The current practice location address for Providence Physician Group is 12800 Bothell Everett Hwy, Everett, WA and can be reached out via phone at 425-316-5150 and via fax at 425-316-5153.

Location: 12800 Bothell Everett Hwy, Everett, WA, 98201-1409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639258130
Provider Name
Providence Physician Group
Credential
Provider Entity Type
Organization
Address
12800 Bothell Everett Hwy, Everett, WA, 98201-1409
Phone Number
425-316-5150
Fax Number
425-316-5153
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7095367 05 WA
institution
Provider Business Practice Location Address Details
Address
12800 Bothell Everett Hwy
City
Everett
State
Washington
Zip
98208-6642
Phone Number
425-316-5150
Fax Number
425-316-5153
person
Provider Business Mailing Address Details
Address
12800 Bothell Everett Hwy
City
Everett
State
Washington
Zip
98208-6642
Phone Number
425-316-5150
Fax Number
425-316-5153
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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.
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