Western Washington Medical Group INC Ps
NPI #1659241875 in Everett, Washington
Provider Information
- NPI Number
- 1659241875
- 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
- Pain Medicine - Interventional Pain Medicine
- Enumeration Date
- Nov 11, 2025
- Last Updated
- Nov 12, 2025
Practice Location
- Address
- 12728 19TH AVE SE STE 300
- City
- Everett
- State
- Washington
- ZIP Code
- 98208-6676
- Phone
- (425) 212-3130
Authorized Official
- Name
- DAVID RUSSIAN, MD
- Title
- CEO
- Phone
- (425) 259-4041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
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