Organization
WESTERN WASHINGTON MEDICAL GROUP INC PS
Active
Parent organization
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Other names
Western Washington Medical Group Department of Cardiology
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 200, EVERETT, WA 98208-6676
(425) 225-2700
(425) 225-2790
Mailing address
1728 W MARINE VIEW DR STE 110, EVERETT, WA 98201-2094
(425) 259-4041
(425) 225-2790
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
03/11/2026
Last updated
04/17/2026
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