Organization
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Active
Parent organization
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Other names
Lake Serene Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Authorized official
MR. COREY DON FRIESEN (CEO ADMINISTRATOR)
(425) 742-9119
Entity
Organization
Contact information
Practice address
3501 SHELBY RD, SUITE B, LYNNWOOD, WA 98087-3599
(425) 742-9119
Mailing address
3501 SHELBY RD, SUITE B, LYNNWOOD, WA 98087-3599
(425) 742-9119
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2005
Last updated
02/23/2016
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