Organization
WESTERN WASHINGTON MEDICAL GROUP
Active
Parent organization
WESTERN WASHINGTON MEDICAL GROUP
Other names
Western Wa Medical Group Dept of Hematology Oncology
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN WASHINGTON MEDICAL GROUP
Authorized official
MR. HENRY R VELDMAN (CEO)
(425) 259-4041
Entity
Organization
Contact information
Practice address
1717 13TH ST, SUITE 300, EVERETT, WA 98201
(425) 297-5500
(425) 297-5553
Mailing address
1717 13TH ST, SUITE 300, EVERETT, WA 98201
(425) 297-5500
(425) 297-5553
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080464
LABOR & INDUSTRY
WA
05
—
7056989
—
WA
01
—
CH5134
RAILROAD MEDICARE
WA
Enumeration date
04/23/2007
Last updated
01/11/2008
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