WESTERN WASHINGTON MEDICAL GROUP, INC PS; NPI #1831238443

Contact Information

WESTERN WASHINGTON MEDICAL GROUP, INC PS

4225 HOYT AVE STE A
EVERETT, WA 98203-2351

Phone: 425-259-3122
Fax: 425-252-9860
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Histology	246QH0600X

Indicates primary specialty

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NPI Profile & details for WESTERN WASHINGTON MEDICAL GROUP, INC PS

NPI Number 1831238443

LBN Legal business name WESTERN WASHINGTON MEDICAL GROUP, INC PS

Authorized official AMELIA EDENS - (DIRECTOR OF PATIENT FINANCIAL SVCS)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 02/06/2007

Last updated 08/04/2023 - About 3 years ago

Identifiers

WA	Medicaid	7137474
WA	Other	601474013	BUSINESS LICENSE

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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WESTERN WASHINGTON MEDICAL GROUP, INC PS

Contact Information

Specialty

Histology

NPI Profile & details for WESTERN WASHINGTON MEDICAL GROUP, INC PS

Reviews for WESTERN WASHINGTON MEDICAL GROUP, INC PS