Healthcare Provider Details

I. General information

NPI: 1831011386
Provider Name (Legal Business Name): ANCHORSTONE COMMUNITY COLLABORATIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E MARINE VIEW DR
EVERETT WA
98201-2171
US

IV. Provider business mailing address

3007 RUCKER AVE # EVERETT PMB 174
EVERETT WA
98201-3931
US

V. Phone/Fax

Practice location:
  • Phone: 425-232-3817
  • Fax:
Mailing address:
  • Phone: 425-232-3817
  • Fax: 425-232-3817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE DORAN
Title or Position: OWNER
Credential: DORAN
Phone: 425-232-3817