Western Washington Medical Group INC Ps
NPI #1649535642 in Bothell, Washington
Provider Information
- NPI Number
- 1649535642
- Entity Type
- Organization
- Organization Name
- Western Washington Medical Group INC Ps
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WESTERN WASHINGTON MEDICAL GROUP
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Jul 6, 2012
- Last Updated
- Sep 23, 2016
Practice Location
- Address
- 1909 214TH ST SE
- Address 2
- SUITE 211
- City
- Bothell
- State
- Washington
- ZIP Code
- 98021-4412
- Phone
- (425) 259-4041
Authorized Official
- Name
- KIM HOLSTEIN
- Title
- DIRECTOR PFS
- Phone
- (425) 259-4041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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