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Organization

WESTERN WASHINGTON MEDICAL GROUP, INC PS

Active
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Organization

WESTERN WASHINGTON MEDICAL GROUP, INC PS

Active
Parent organization
WESTERN WASHINGTON MEDICAL GROUP
Other names
Marysville Family Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
WESTERN WASHINGTON MEDICAL GROUP
Authorized official
KIM HOLSTEIN (DIRECTOR PFS)
(425) 259-4041
Entity
Organization

Contact information

Practice address
4404 80TH ST NE, MARYSVILLE, WA 98270-3427
(360) 659-1231
Mailing address
1728 W MARINE VIEW DR, EVERETT, WA 98201-2094
(425) 259-4041

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
11/20/2012
Last updated
02/23/2016
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