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Providence Physician Group
Durable Medical Equipment & Medical Supplies in Everett, Washington
NPI 1699858563

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 1699858563 and holds a License No. (Washington).

The current practice location address for Providence Physician Group is 1330 Rockefeller Ave, Everett, WA and can be reached out via phone at 425-261-4920 and via fax at 425-261-4988. You can also correspond with Providence Physician Group through the mailing address at 909 N BROADWAY, EVERETT, WA - 98201-1409 (mailing address contact number: 425-317-0246).

Location: 1330 Rockefeller Ave, Everett, WA, 98201-1409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699858563
Provider Name
Providence Physician Group
Credential
Provider Entity Type
Organization
Address
1330 Rockefeller Ave, Everett, WA, 98201-1409
Phone Number
425-261-4920
Fax Number
425-261-4988
Provider Enumeration Date
10/23/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
7114101 05 WA
institution
Provider Business Practice Location Address Details
Address
1330 Rockefeller Ave
City
Everett
State
Washington
Zip
98201-1684
Phone Number
425-261-4920
Fax Number
425-261-4988
person
Provider Business Mailing Address Details
Address
909 N Broadway
City
Everett
State
Washington
Zip
98201-1409
Phone Number
425-317-0246
Fax Number
425-317-0291
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
()
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.
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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