Organization · Type 2 NPI

Western Washington Medical Group

Specialist · Bothell, WA

NPI number 1194045542 Active

Practice location

1909 214th St SE, Suite 211
Bothell, WA 98021-4412

Call (425) 420-1655 Map

Mailing address

1728 W Marine View Dr, Suite 110
Everett, WA 98201-2094

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X207RG0100X (WA)
Specialist 174400000X207RC0000X (WA)
Specialist Primary 174400000X207RE0101X (WA)
Specialist 174400000X213E00000X (WA)
Specialist 174400000X207Y00000X (WA)
Specialist 174400000X291U00000X (WA)
Internal Medicine Physician 207R00000X207R00000X (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

20 other providers at this address

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About NPI 1194045542

Western Washington Medical Group's National Provider Identifier is 1194045542, issued on Jun 8, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bothell, WA. The record was last updated on Nov 23, 2011.