# WESTERN WASHINGTON MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851710495
- **Authorized official:** DR. STEPHANIE E ABBOTT PHARM D (RESEARCH DIRECTOR)
- **Authorized official phone:** (425) 225-2760

## Contact information

- **Practice address:** 12728 19TH AVE SE, SUITE 200, EVERETT, WA 98208-6526
- **Practice address phone:** (425) 225-2760
- **Practice address fax:** (425) 252-1118
- **Mailing address:** 12728 19TH AVE SE, SUITE 200, EVERETT, WA 98208-6526
- **Mailing address phone:** (425) 225-2760
- **Mailing address fax:** (425) 252-1118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | PH00020716 | WA | Yes |

## Other

- **Enumeration date:** 04/10/2014
- **Last updated:** 04/10/2014