Organization
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Active
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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