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NPI Code Detail

MEDICARE: SWEDISH EDMONDS

MEDICARE: SWEDISH EDMONDS
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
1273R00000XPsychiatric Hospital UnitHAC.FS.60183546WA
2282N00000XGeneral Acute Care HospitalHAC.FS.60183546WA

General Provider Information

NPI Number : 1033107214
Entity Type Code : Organization
Provider Name (Legal Business Name) : SWEDISH EDMONDS
Provider Business Mailing Address
First Line : PO BOX 271627
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-1627
Country : US
Telephone Number : 425-640-4000
Fax Number : 425-640-4432
Provider Business Practice Location Address
First Line : 21601 76TH AVE W
Second Line :
City : EDMONDS
State : WA
Zip : 98026-7507
Country : US
Telephone Number : 425-640-4000
Fax Number : 425-640-4432
Authorized Official
Title or Position : ASSISTANT SECREATRY FOR ENROLLMENT
Name : DONALD WAYNE ANDERSON JR.
Credential :
Telephone Number : 425-358-9786
Provider Enumeration Date : 10/11/2005
Last Update Date : 05/08/2025

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1689630014 — DR. VICTORIA L. HARRIS MD, MPH
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1386693232 — MS. PAMELA V LUTTRELL ARNP
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Directions to “SWEDISH EDMONDS ” Practice Location

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