Organization
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Active
Parent organization
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Other names
Western Washington Medical Group Dept of Infectious Disease
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Authorized official
AMELIA EDENS (DIRECTOR OF PATIENT FINANCIAL SERVI)
(425) 740-4142
Entity
Organization
Contact information
Practice address
12728 19TH AVE SE STE 300, EVERETT, WA 98208-6676
(425) 252-1116
Mailing address
1728 W MARINE VIEW DR STE 110, EVERETT, WA 98201-2094
(425) 259-4041
(425) 740-4155
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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