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Contact Information

WESTERN WASHINGTON MEDICAL GROUP
1717 13TH ST
SUITE 300
EVERETT, WA98201
 Phone: 425-297-5500
 Fax: 425-297-5553
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WESTERN WASHINGTON MEDICAL GROUP · (Female)

NPI Number 1013135417
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2007
Last updated 01/11/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WA Medicaid 7056989
  • WA Other 0080464 LABOR & INDUSTRY
  • WA Other CH5134 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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