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Organization
WESTERN WASHINGTON MEDICAL GROUP INC PS
Active
Organization
WESTERN WASHINGTON MEDICAL GROUP INC PS
Active
Other names
WWMG Dept of Neurology Hospitalist, WWMG Dept of Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH BAE (CONTRACT ANALYST/CREDENTIALING COOR)
(425) 259-4041
Entity
Organization
Contact information
Practice address
12728 19TH AVE SE, SUITE 300, EVERETT, WA 98208-6526
(425) 259-4041
Mailing address
1728 W MARINE VIEW DR, SUITE 110, EVERETT, WA 98201-2094
(425) 259-4041
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
—
NULL
2084A2900X
Neurocritical Care Physician
Primary
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
08/05/2016
Last updated
06/19/2024
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