WESTERN WASHINGTON MEDICAL GROUP INC PS NPI 1427005313

NPI Information

WESTERN WASHINGTON MEDICAL GROUP, INC PS is an ambulatory surgical clinic center in Everett, WA. WESTERN WASHINGTON MEDICAL GROUP, INC PS NPI is 1427005313. The provider is registered as an organization entity type.
The provider Is Doing Business As Western Washington Medical Group Endoscopy Center.

The provider's business location address is:

12800 BOTHELL EVERETT HWY
SUITE 200
EVERETT, WA
ZIP 98208-642
Phone: (425) 259-3122

The provider's authorized official is Vicki Mcginnis .
The authorized official title is Hipaa Privacy Officer and has the following contact phone number (425) 259-4041.

The CLIA number assigned to this NPI record is 50D0706462 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 2/23/2016.

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:

Other Identifiers

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

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