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
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 CarePrimary Care

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