Western Washington Medical Group

NPI #1225256720 in Everett, Washington

Provider Information

NPI Number: 1225256720
Entity Type: Organization
Organization Name: Western Washington Medical Group
Subpart: Yes (part of a larger organization)
Parent Organization: WESTERN WASHINGTON MEDICAL GROUP
Primary Specialty: Surgery
Enumeration Date: Apr 23, 2007
Last Updated: Dec 28, 2010

Practice Location

Address: 3216 NORTON AVE STE 202
City: Everett
State: Washington
ZIP Code: 98201-4290
Phone: (425) 259-3181

Authorized Official

Name: MS. VICKI MCGINNIS
Title: PRIVACY OFFICER
Phone: (425) 740-4148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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