Active NPI 1720466980 Individual Practitioner Female Practitioner

Inderjot Bajwa

Internal Medicine • Everett, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Inderjot Bajwa is a certified Internal Medicine practicing in Everett, WA. With approximately 13 years of clinical experience since completing medical education in 2013, Inderjot Bajwa delivers high-quality medical care to the local community at 3901 HOYT AVE.

Inderjot Bajwa maintains professional affiliations with Select Outpatient Services Inc, Select Rehabilitation, Llc, Optum Care Washington Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3901 Hoyt Ave

Everett, WA 982014918

Telephone 4253395420

Fax 4252591154

Associated Practice Facility / Clinic

🏢 Optum Care Washington Pllc Facility NPI 1831186766

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Everett, WA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -7.3 yrs vs City Avg

City Avg: 20.3 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

175 Specialists

Practicing in Everett, WA (3169 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

58.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bajwa (13 Years) 13 Yrs

Everett Specialty Average (20.3 Years) 20.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	296	151	$347.24	$124.74
36415 Insertion of needle into vein for collection of blood sample	171	112	$18.00	$8.52
80053 Blood test, comprehensive group of blood chemicals	89	78	$22.25	$10.25
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	79	71	$14.50	$6.21
80061 Blood test, lipids (cholesterol and triglycerides)	67	66	$32.50	$12.96
83036 Hemoglobin A1C level	61	44	$21.75	$9.26
99213 Established patient office or other outpatient visit, typically 15 minutes	52	43	$241.84	$89.63
84443 Blood test, thyroid stimulating hormone (TSH)	39	36	$37.50	$16.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$314.50	$128.53
G0008 Administration of influenza virus vaccine	27	24	$63.25	$32.37
80048 Blood test, basic group of blood chemicals (calcium, total)	24	20	$18.00	$8.29
82570 Creatinine level to test for kidney function or muscle injury	22	22	$11.75	$4.89
90673 Influenza vaccine, trivalent derived from recombinant dna	22	22	$175.50	$81.82
82043 Urine microalbumin (protein) level	22	22	$13.00	$5.44
90480 Admn sarscov2 vacc 1 dose	20	18	$40.00	$39.20
82607 Cyanocobalamin (vitamin B-12) level	20	20	$33.75	$14.78
91320 Sarscv2 vac 30mcg trs-suc im	20	18	$357.25	$144.28
84439 Thyroxine (thyroid chemical), free	15	15	$19.75	$8.84
82728 Ferritin (blood protein) level	14	13	$30.50	$13.36
82306 Vitamin d-3 level	13	13	$66.25	$29.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,225	11	$1.25	$0.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	349	190	$308.71	$124.14
36415 Insertion of needle into vein for collection of blood sample	242	159	$13.86	$7.68
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	109	102	$14.50	$6.05
80061 Blood test, lipids (cholesterol and triglycerides)	108	104	$32.74	$12.51
80053 Blood test, comprehensive group of blood chemicals	105	92	$22.25	$9.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	95	95	$314.33	$130.06
83036 Hemoglobin A1C level	78	58	$21.75	$8.62
84443 Blood test, thyroid stimulating hormone (TSH)	62	52	$37.50	$15.64
99213 Established patient office or other outpatient visit, typically 15 minutes	61	56	$217.62	$90.92
85610 Blood test, clotting time	54	11	$9.25	$4.20
82607 Cyanocobalamin (vitamin B-12) level	49	47	$33.75	$14.78
82570 Creatinine level to test for kidney function or muscle injury	32	31	$11.75	$4.68
82043 Urine microalbumin (protein) level	30	29	$13.00	$5.34
83970 Parathormone (parathyroid hormone) level	29	26	$92.25	$37.89
82306 Vitamin d-3 level	25	25	$66.25	$27.85
81001 Manual urinalysis test with examination using microscope, automated	23	21	$7.25	$2.84
80048 Blood test, basic group of blood chemicals (calcium, total)	22	18	$18.00	$8.29
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	22	21	$25.00	$6.37
84439 Thyroxine (thyroid chemical), free	21	21	$19.75	$8.84
82728 Ferritin (blood protein) level	20	19	$30.50	$11.78
G0008 Administration of influenza virus vaccine	20	20	$63.25	$31.39
90662 Influenza vaccine split virus, preservative free	19	19	$154.25	$71.93
77067 Screening mammography	17	17	$398.00	$125.49
77063 Screening digital tomography of both breasts	17	17	$156.00	$51.12
G0103 Prostate cancer screening; prostate specific antigen test (psa)	16	16	$41.25	$17.74
83540 Iron level	15	13	$14.50	$4.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	15	15	$17.50	$7.61
84466 Transferrin (iron binding protein) level	15	13	$28.50	$9.70
G0009 Administration of pneumococcal vaccine	13	13	$63.25	$31.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$430.42	$167.18
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$697.75	$260.38
87086 Bacterial colony count, urine	12	11	$18.25	$7.91
90480 Admn sarscov2 vacc 1 dose	11	11	$40.00	$40.12
91320 Sarscv2 vac 30mcg trs-suc im	11	11	$357.25	$128.48
83735 Magnesium level	11	11	$15.00	$6.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	296	173	$302.03	$125.70
36415 Insertion of needle into vein for collection of blood sample	255	168	$7.25	$2.87
80061 Blood test, lipids (cholesterol and triglycerides)	116	106	$41.00	$12.86
80053 Blood test, comprehensive group of blood chemicals	107	89	$22.25	$10.28
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	105	103	$14.50	$6.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	102	102	$308.94	$132.21
83036 Hemoglobin A1C level	82	62	$21.75	$9.01
99213 Established patient office or other outpatient visit, typically 15 minutes	61	57	$212.86	$90.81
84443 Blood test, thyroid stimulating hormone (TSH)	52	46	$37.50	$16.07
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r	51	39	$170.00	$68.32
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	51	39	$50.00	$22.77
G0008 Administration of influenza virus vaccine	36	36	$63.25	$29.09
90682 Influenza vaccine, quadrivalent derived from recombinant dna	33	33	$146.41	$64.19
82607 Cyanocobalamin (vitamin B-12) level	33	32	$33.75	$14.50
80048 Blood test, basic group of blood chemicals (calcium, total)	33	27	$18.00	$7.76
82570 Creatinine level to test for kidney function or muscle injury	30	30	$11.75	$5.03
83970 Parathormone (parathyroid hormone) level	28	23	$92.25	$39.35
82043 Urine microalbumin (protein) level	28	28	$13.00	$5.60
0064A Adm sarscov2 50mcg/0.25mlbst	28	28	$40.00	$38.59
77067 Screening mammography	23	23	$378.10	$127.31
77063 Screening digital tomography of both breasts	23	23	$151.75	$53.90
0134A Fee covid-19 vac 14 res	22	22	$40.00	$39.57
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	21	$63.92	$23.70
81001 Manual urinalysis test with examination using microscope, automated	20	17	$7.25	$3.14
84439 Thyroxine (thyroid chemical), free	20	19	$19.75	$8.70
G0009 Administration of pneumococcal vaccine	19	19	$61.25	$30.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$420.50	$171.73
71046 X-ray of chest, 2 views	15	15	$91.50	$34.77
82728 Ferritin (blood protein) level	14	14	$30.50	$13.06
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	12	12	$25.00	$6.22
84466 Transferrin (iron binding protein) level	12	12	$28.50	$11.78
83540 Iron level	12	12	$14.50	$5.98
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	11	11	$684.00	$279.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,250	12	$1.25	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	450	200	$282.75	$127.01
36415 Insertion of needle into vein for collection of blood sample	339	187	$7.25	$2.89
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	127	113	$14.50	$6.47
99213 Established patient office or other outpatient visit, typically 15 minutes	125	102	$195.75	$90.31
80061 Blood test, lipids (cholesterol and triglycerides)	124	117	$41.00	$13.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$306.95	$134.76
83036 Hemoglobin A1C level	117	75	$21.75	$9.41
80053 Blood test, comprehensive group of blood chemicals	113	103	$22.25	$10.35
85610 Blood test, clotting time	112	16	$9.24	$4.29
84443 Blood test, thyroid stimulating hormone (TSH)	74	64	$37.50	$16.10
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	65	52	$62.25	$23.31
80048 Blood test, basic group of blood chemicals (calcium, total)	60	48	$18.00	$8.25
82607 Cyanocobalamin (vitamin B-12) level	40	38	$33.75	$14.70
77067 Screening mammography	38	38	$365.51	$129.62
99493 Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes	36	13	$332.25	$155.47
83970 Parathormone (parathyroid hormone) level	35	33	$92.25	$37.64
84439 Thyroxine (thyroid chemical), free	34	31	$19.75	$9.02
77063 Screening digital tomography of both breasts	32	32	$148.55	$54.42
G0008 Administration of influenza virus vaccine	31	30	$63.25	$17.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	27	$379.75	$178.78
82570 Creatinine level to test for kidney function or muscle injury	29	26	$11.75	$4.75
82043 Urine microalbumin (protein) level	27	25	$13.00	$5.62
90682 Influenza vaccine, quadrivalent derived from recombinant dna	26	26	$136.56	$62.42
81001 Manual urinalysis test with examination using microscope, automated	25	20	$7.25	$3.06
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	20	20	$26.25	$6.60
87086 Bacterial colony count, urine	17	12	$18.25	$8.07
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	16	14	$50.00	$25.00
80069 Kidney function blood test panel	16	12	$18.50	$7.77
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r	16	14	$170.00	$75.00
82306 Vitamin d-3 level	16	14	$66.25	$28.05
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	14	14	$38.00	$18.05
G0009 Administration of pneumococcal vaccine	14	14	$61.25	$17.34
G0103 Prostate cancer screening; prostate specific antigen test (psa)	13	13	$41.25	$19.31
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$264.50	$116.23
86140 Measurement C-reactive protein for detection of infection or inflammation	11	11	$11.75	$5.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	390	205	$276.00	$107.84
36415 Insertion of needle into vein for collection of blood sample	342	208	$7.25	$2.91
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	280	171	$55.75	$23.41
99213 Established patient office or other outpatient visit, typically 15 minutes	187	129	$187.00	$74.40
85610 Blood test, clotting time	152	19	$9.00	$4.26
80061 Blood test, lipids (cholesterol and triglycerides)	152	138	$41.00	$13.09
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	133	122	$14.50	$6.32
83036 Hemoglobin A1C level	129	91	$21.75	$9.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	119	119	$300.75	$117.12
80053 Blood test, comprehensive group of blood chemicals	88	80	$22.25	$10.18
84443 Blood test, thyroid stimulating hormone (TSH)	68	60	$37.50	$16.27
82570 Creatinine level to test for kidney function or muscle injury	49	45	$11.75	$4.90
82043 Urine microalbumin (protein) level	49	45	$13.00	$5.47
G0008 Administration of influenza virus vaccine	38	36	$63.25	$16.95
80069 Kidney function blood test panel	36	30	$18.50	$8.63
77067 Screening mammography	35	29	$289.89	$111.98
90682 Influenza vaccine, quadrivalent derived from recombinant dna	34	32	$120.08	$57.93
G0009 Administration of pneumococcal vaccine	32	32	$63.25	$16.97
77063 Screening digital tomography of both breasts	31	26	$119.31	$47.15
99442 Telephone medical discussion with physician, 11-20 minutes	31	30	$187.00	$72.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	24	$372.00	$136.09
80048 Blood test, basic group of blood chemicals (calcium, total)	29	27	$17.75	$8.37
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$186.00	$119.37
82607 Cyanocobalamin (vitamin B-12) level	28	27	$33.75	$14.48
83970 Parathormone (parathyroid hormone) level	25	21	$92.25	$41.11
81001 Manual urinalysis test with examination using microscope, automated	20	17	$7.25	$3.14
84439 Thyroxine (thyroid chemical), free	20	20	$19.75	$8.96
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$442.00	$172.48
77080 Dxa bone density measurement of hip, pelvis, spine	17	17	$131.24	$40.08
82306 Vitamin d-3 level	17	17	$66.25	$26.22
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	14	14	$35.75	$18.02
71046 X-ray of chest, 2 views	14	12	$73.13	$30.92
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r	13	13	$205.50	$100.00
83735 Magnesium level	12	12	$15.00	$6.66
81003 Automated urinalysis test	11	11	$5.25	$2.03
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	11	11	$17.50	$7.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	394	209	$51.00	$22.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	162	$266.75	$107.47
36415 Insertion of needle into vein for collection of blood sample	196	138	$7.25	$2.91
99213 Established patient office or other outpatient visit, typically 15 minutes	101	85	$181.25	$72.91
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	70	63	$14.50	$7.04
80061 Blood test, lipids (cholesterol and triglycerides)	68	66	$41.00	$14.37
83036 Hemoglobin A1C level	48	39	$21.75	$10.16
80053 Blood test, comprehensive group of blood chemicals	43	41	$22.25	$11.24
77067 Screening mammography	40	32	$240.92	$94.82
84443 Blood test, thyroid stimulating hormone (TSH)	34	32	$37.50	$18.30
77063 Screening digital tomography of both breasts	33	28	$92.68	$36.91
G0009 Administration of pneumococcal vaccine	26	26	$36.00	$16.68
80069 Kidney function blood test panel	23	20	$18.50	$9.46
82570 Creatinine level to test for kidney function or muscle injury	22	22	$11.75	$5.63
82043 Urine microalbumin (protein) level	22	22	$13.00	$6.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$287.75	$116.15
80048 Blood test, basic group of blood chemicals (calcium, total)	19	18	$17.75	$9.21
81001 Manual urinalysis test with examination using microscope, automated	18	15	$7.25	$3.45
71046 X-ray of chest, 2 views	17	15	$60.57	$25.26
90670 Pneumococcal vaccine for injection into muscle	15	15	$408.00	$207.68
84439 Thyroxine (thyroid chemical), free	14	14	$19.75	$9.82
82607 Cyanocobalamin (vitamin B-12) level	14	13	$33.75	$16.41
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$180.75	$108.76
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s)	11	11	$58.02	$45.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	112	81	$51.00	$21.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	52	$266.75	$106.14
36415 Insertion of needle into vein for collection of blood sample	45	39	$7.25	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	36	28	$181.25	$67.11
G0008 Administration of influenza virus vaccine	27	27	$55.00	$20.58
80061 Blood test, lipids (cholesterol and triglycerides)	26	26	$41.00	$16.20
90653 Vaccine for influenza for injection into muscle	23	23	$90.75	$48.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$277.50	$117.09
G0009 Administration of pneumococcal vaccine	14	14	$61.00	$20.58
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	13	13	$14.50	$7.82
80048 Blood test, basic group of blood chemicals (calcium, total)	13	12	$17.75	$10.23

Medical Specialties & State Licenses

CMS Verified: 2026-06-06

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD60833591

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Select Outpatient Services Inc

2600 Compass Rd, Glenview, IL 600268001

Select Rehabilitation, Llc

2600 Compass Rd, Glenview, IL 600268001

Optum Care Washington Pllc

3901 Hoyt Ave, Everett, WA 982014918

Phone: 4253395442

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Dr. Shilpa Jog , MD

Internal Medicine

NPI 1154516268

Doctor of Medicine (M.D.)

Shelly Finn

Internal Medicine

NPI 1184688210

Sejung Hong

Internal Medicine

NPI 1255781167

Dr. Paul Abson , MD

Otolaryngology

NPI 1336121029

Doctor of Medicine (M.D.)

Dr. Joshua Munro , MD

Family Medicine

NPI 1356563837

Doctor of Medicine (M.D.)

Clete Barrick

Internal Medicine

NPI 1457691370

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Business Mailing Address June 06, 2026

Registered at 7600 EVERGREEN WAY, EVERETT, WA 982036421 (Tel: 2068605414)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2026

Internal Medicine (License #MD60833591 in WA)

📍

Updated Business Mailing Address December 07, 2018

Registered at PO BOX 5127, EVERETT, WA 982065127 (Tel: 4253395420)

📍

Updated Practice Location October 03, 2018

Registered at 3901 HOYT AVE, EVERETT, WA 982014918 (Tel: 4253395420)

✅

NPI Profile Active May 08, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 08, 2015

Registered at 2601 E. ROOSEVELT ST., MARICOPA INTEGRATED HEATH SYSTEM,, PHOENIX, AZ 85008 (Tel: 6023445956)

📍

Updated Business Mailing Address May 08, 2015

Registered at 2601 E. ROOSEVELT ST., MARICOPA INTEGRATED HEATH SYSTEM,, PHOENIX, AZ 85008

👤

Provider Name / Credentials Updated May 08, 2015

Recorded as INDERJOT BAJWA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 08, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720466980

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 08, 2015

Last Update: June 06, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7600 Evergreen Way

Everett, WA 982036421

Phone: 2068605414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.