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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

NPI Number 1013135417
LBN Legal business name WESTERN WASHINGTON MEDICAL GROUP
Authorized official HENRY VELDMAN - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/23/2007
Last updated 01/11/2008 - About 18 years ago
Identifiers
WA Medicaid 7056989
WA Other 0080464 LABOR & INDUSTRY
WA Other CH5134 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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