Organization
WESTERN WASHINGTON MEDICAL GROUP INC PS
Active
Parent organization
WESTERN WASHINGTON MEDICAL GROUP
Other names
WWMG Diabetic Education
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN WASHINGTON MEDICAL GROUP
Authorized official
KIM HOLSTEIN (DIRECTOR PFS)
(425) 259-4041
Entity
Organization
Contact information
Practice address
1909 214TH ST SE, SUITE 211, BOTHELL, WA 98021-4412
(425) 259-4041
Mailing address
1728 W MARINE VIEW DR, EVERETT, WA 98201-2094
(425) 259-4041
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
WA
Other
Enumeration date
07/06/2012
Last updated
09/23/2016
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