Healthcare Provider Details

I. General information

NPI: 1760439285
Provider Name (Legal Business Name): SWEDISH HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2006
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5414 BARNES AVE NW
SEATTLE WA
98107-3839
US

IV. Provider business mailing address

PO BOX 3582
SEATTLE WA
98124-3582
US

V. Phone/Fax

Practice location:
  • Phone: 206-787-0641
  • Fax: 206-784-4386
Mailing address:
  • Phone: 206-320-7746
  • Fax: 260-320-5340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DONALD WAYNE ANDERSON JR.
Title or Position: ASSISTANT SECREATRY FOR ENROLLMENT
Credential:
Phone: 425-358-9786