Organization
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Active
Other names
WWMG Department of Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY HOLSTEIN (DIRECTOR CORPORATE COMPLIANCE)
(425) 259-4041
Entity
Organization
Contact information
Practice address
12728 19TH AVE SE STE 300, EVERETT, WA 98208-6526
(425) 252-1116
Mailing address
1728 W MARINE VIEW DR STE 110, EVERETT, WA 98201-2094
(425) 259-4041
(425) 252-6642
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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