Organization
WESTERN WASHINGTON MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE E ABBOTT PHARM D (RESEARCH DIRECTOR)
(425) 225-2760
Entity
Organization
Contact information
Practice address
12728 19TH AVE SE, SUITE 200, EVERETT, WA 98208-6526
(425) 225-2760
(425) 252-1118
Mailing address
12728 19TH AVE SE, SUITE 200, EVERETT, WA 98208-6526
(425) 225-2760
(425) 252-1118
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH00020716
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00020716
PHARMACIST LICENSE
WA
Enumeration date
04/10/2014
Last updated
04/10/2014
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