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WESTERN WASHINGTON MEDICAL GROUP INC PS NPI 1285852681


NPI Information

NPI: 1285852681
Provider Name: WESTERN WASHINGTON MEDICAL GROUP, INC PS

Doing Business As: WESTERN WA MEDICAL GROUP DEPT OF ENT

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
3125 COLBY AVE STE J
EVERETT, WA
ZIP 98201
Phone: (425) 791-3093
Get Directions

WESTERN WASHINGTON MEDICAL GROUP, INC PS is an otolaryngology in Everett, WA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. WESTERN WASHINGTON MEDICAL GROUP, INC PS NPI is 1285852681. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Western Wa Medical Group Dept Of Ent.

The provider's business location address is:

3125 COLBY AVE STE J
EVERETT, WA
ZIP 98201-032
Phone: (425) 791-3093
Fax: (425) 791-3094

The provider's authorized official is Amelia Edens .
The authorized official title is Director Of Patient Financial Svcs and has the following contact phone number (425) 740-4142.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology601474013WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DE3720OTHERWASHINGTONRAILROAD MEDICARE
27127780MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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