Western Washington Medical Group, INC Ps

NPI #1932327335 in Everett, Washington

Provider Information

NPI Number: 1932327335
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: Podiatrist
Enumeration Date: Apr 23, 2007
Last Updated: Aug 4, 2023

Practice Location

Address: 3802 BROADWAY STE B
City: Everett
State: Washington
ZIP Code: 98201-5032
Phone: (425) 259-0855

Authorized Official

Name: AMELIA EDENS
Title: DIRECTOR OF PATIENT FINANCIAL SVCS
Phone: (425) 740-4142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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