Western Washington Medical Group, Inc, Ps
NPI #1013138536 in Everett, Washington
Provider Information
- NPI Number
- 1013138536
- Entity Type
- Organization
- Organization Name
- Western Washington Medical Group, Inc, Ps
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- May 1, 2007
- Last Updated
- Oct 29, 2018
Practice Location
- Address
- 3726 BROADWAY SUITE 206
- City
- Everett
- State
- Washington
- ZIP Code
- 98201-3787
- Phone
- (425) 374-5160
Authorized Official
- Name
- KATHLINE H. SULLIVAN
- Title
- ADMINISTRATOR
- Phone
- (425) 374-5176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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