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Organization
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Active
Organization
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Active
Other names
Snohomish Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI MCGINNIS (PRIVACY OFFICER)
(425) 259-4041
Entity
Organization
Contact information
Practice address
629 AVENUE D, SNOHOMISH, WA 98290-2330
(360) 568-1554
(360) 568-1722
Mailing address
1728 W MARINE VIEW DR, SUITE 110, EVERETT, WA 98201-2094
(425) 259-4041
(425) 252-6642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/17/2014
Last updated
02/23/2016
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