Organization
WESTERN WASHINGTON MEDICAL GROUP INC PS
Active
Parent organization
WESTERN WASHINGTON MEDICAL GROUP INC PS
Other names
WWMG Dept of Interventional Pain Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN WASHINGTON MEDICAL GROUP INC PS
Authorized official
DAVID RUSSIAN MD (CEO)
(425) 259-4041
Entity
Organization
Contact information
Practice address
12728 19TH AVE SE STE 300, EVERETT, WA 98208-6676
(425) 212-3130
(425) 320-1187
Mailing address
1728 W MARINE VIEW DR STE 110, EVERETT, WA 98201-2094
(425) 259-4041
(425) 320-1187
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/12/2025
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