WESTERN WASHINGTON MEDICAL GROUP INC NPI 1528370723

NPI Information

WESTERN WASHINGTON MEDICAL GROUP, INC is a surgical physician assistant in Everett, WA. WESTERN WASHINGTON MEDICAL GROUP, INC NPI is 1528370723. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Orthopedic, Sports And Hand Center.

The provider's business location address is:

3726 BROADWAY STE 201
EVERETT, WA
ZIP 98201-788
Phone: (425) 317-9119
Fax: (425) 317-9118

The provider's authorized official is Jerry Tillinger .
The authorized official title is Ceo and has the following contact phone number (425) 740-4149.

The enumeration date for this NPI number is 7/6/2010 and was last updated on 7/6/2010.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.