# WESTERN WASHINGTON MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WESTERN WASHINGTON MEDICAL GROUP
- **Other names:** Western Wa Medical Group Dept of Hematology Oncology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013135417
- **Legal business name:** WESTERN WASHINGTON MEDICAL GROUP
- **Authorized official:** MR. HENRY R VELDMAN (CEO)
- **Authorized official phone:** (425) 259-4041

## Contact information

- **Practice address:** 1717 13TH ST, SUITE 300, EVERETT, WA 98201
- **Practice address phone:** (425) 297-5500
- **Practice address fax:** (425) 297-5553
- **Mailing address:** 1717 13TH ST, SUITE 300, EVERETT, WA 98201
- **Mailing address phone:** (425) 297-5500
- **Mailing address fax:** (425) 297-5553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | WA | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 01/11/2008