Organization
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Active
Organization
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI M MCGINNIS (PRIVACY OFFICER)
(425) 259-4041
Entity
Organization
Contact information
Practice address
1728 W MARINE VIEW DR, SUITE 110, EVERETT, WA 98201-2094
(425) 259-4041
(425) 252-6642
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
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
—
WA
207RC0000X
Cardiovascular Disease Physician
—
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
WA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
WA
207RG0100X
Gastroenterology Physician
Primary
—
WA
207RH0003X
Hematology & Oncology Physician
—
WA
207RN0300X
Nephrology Physician
—
WA
207RP1001X
Pulmonary Disease Physician
—
WA
207RR0500X
Rheumatology Physician
—
WA
207X00000X
Orthopaedic Surgery Physician
—
WA
207Y00000X
Otolaryngology Physician
—
WA
208600000X
Surgery Physician
—
WA
208800000X
Urology Physician
—
WA
213E00000X
Podiatrist
—
—
Other
Enumeration date
05/27/2006
Last updated
03/02/2016
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