Western Washington Medical Group INC Ps
NPI #1568916682 in Everett, Washington
Provider Information
- NPI Number
- 1568916682
- Entity Type
- Organization
- Organization Name
- Western Washington Medical Group INC Ps
- Primary Specialty
- Psychiatry & Neurology - Neurocritical Care
- Enumeration Date
- Aug 5, 2016
- Last Updated
- Jun 19, 2024
Practice Location
- Address
- 12728 19TH AVE SE
- Address 2
- SUITE 300
- City
- Everett
- State
- Washington
- ZIP Code
- 98208-6526
- Phone
- (425) 259-4041
Authorized Official
- Name
- ELIZABETH BAE
- Title
- CONTRACT ANALYST/CREDENTIALING COOR
- Phone
- (425) 259-4041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
| Psychiatry & Neurology - Neurocritical Care — Neurocritical Care |
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