MEDICARE: SWEDISH HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	601971980	WA
2	207R00000X	Internal Medicine Physician	601971980	WA
3	363L00000X	Nurse Practitioner	601971980	WA
4	207Q00000X	Family Medicine Physician	601971980	WA

General Provider Information

NPI Number	:	1891735775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEDISH HEALTH SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 34472
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-1472
Country	:	US
Telephone Number	:	206-320-4476
Fax Number	:	206-320-5340

Provider Business Practice Location Address
First Line	:	22707 SE 29TH ST
Second Line	:
City	:	SAMMAMISH
State	:	WA
Zip	:	98075-9532
Country	:	US
Telephone Number	:	425-455-2845
Fax Number	:	425-864-8602

Authorized Official
Title or Position	:	ASSISTANT SECREATRY FOR ENROLLMENT
Name	:	DONALD WAYNE ANDERSON JR.
Credential	:
Telephone Number	:	425-358-9786

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	05/16/2025

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Directions to “SWEDISH HEALTH SERVICES ” Practice Location

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