Western Washington Medical Group, INC Ps
NPI #1003809229 in Lynnwood, Washington
Provider Information
- NPI Number
- 1003809229
- Entity Type
- Organization
- Organization Name
- Western Washington Medical Group, INC Ps
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WESTERN WASHINGTON MEDICAL GROUP, INC PS
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Aug 23, 2005
- Last Updated
- Feb 23, 2016
Practice Location
- Address
- 3501 SHELBY RD
- Address 2
- SUITE B
- City
- Lynnwood
- State
- Washington
- ZIP Code
- 98087-3599
- Phone
- (425) 742-9119
Authorized Official
- Name
- MR. COREY DON FRIESEN
- Title
- CEO ADMINISTRATOR
- Phone
- (425) 742-9119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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