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Organization
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Active
Organization
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Active
Parent organization
WESTERN WASHINGTON MEDICAL GROUP
Other names
Western Wa Med Grp Dept of Pulmonary, Sleep Disorders, Critical Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN WASHINGTON MEDICAL GROUP
Authorized official
MS. VICKI MCGINNIS (PRIVACY OFFICER)
(425) 259-4041
Entity
Organization
Contact information
Practice address
12728 19TH AVE SE, SUITE 300, EVERETT, WA 98208-6526
(425) 252-1116
(425) 252-1118
Mailing address
12728 19TH AVE SE, SUITE 300, EVERETT, WA 98208-6526
(425) 252-1116
(425) 252-1118
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
601474013
WA
207RP1001X
Pulmonary Disease Physician
Primary
601474013
WA
Other
Enumeration date
04/23/2007
Last updated
02/23/2016
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