Providence Health & Services - Wa
Cardiovascular Disease
4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo
Washington, 98275-5457
425-347-6330 425-347-6335
Providence Health & Services - Wa is a Cardiovascular Disease in Mukilteo, Washington. It is located at 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo and it's customer support contact number is 425-347-6330. The authorized person of Providence Health & Services - Wa is Donald Wayne Anderson Jr. who is Assistant Secretary For Enrollment of this DME and his contact number is 425-358-9786.
Providence Health & Services - Wa is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
DME Supplier Details:
Providence Health & Services - Wa type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Providence Health & Services - Wa |
| Type: | Cardiovascular Disease |
| Location: | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo,
Washington, 98275-5457 |
| Phone: | 425-347-6330 |
| Fax: | 425-347-6335 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Donald Wayne Anderson Jr. |
| Position: | Assistant Secretary For Enrollment |
| Contact Number: | 425-358-9786 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1669616363 |
| NPI Enumeration Date: | 24 Apr, 2009 |
| NPI Last Update On: | 25 Jul, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health & Services - Wa are as mentioned below.
| Specialization | License Number | State | Status | |
| Cardiovascular Disease | | | Primary | |
| Family Medicine | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 34439,
Seattle, Washington |
| Zip: | 98124-1439 |
| Phone Number: | 425-525-6652 |
| Fax Number: | 425-525-6700 |
Patients can reach Providence Health & Services - Wa at
4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, Washington or can
call on customer care at 425-347-6330.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.