| Western Washington Medical Group Inc Ps | |
|
1909 214th St Se Ste 205 Bothell WA 98021-4415 | |
| (425) 317-8025 | |
| (425) 317-9516 |
| Full Name | Western Washington Medical Group Inc Ps |
|---|---|
| Speciality | Family Medicine |
| Location | 1909 214th St Se Ste 205, Bothell, Washington |
| Authorized Official Name and Position | David Russian (CEO) |
| Authorized Official Contact | 4252594041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Washington Medical Group Inc Ps 1728 W Marine View Dr Ste 110 Everett WA 98201-2094 Ph: (425) 317-8025 | Western Washington Medical Group Inc Ps 1909 214th St Se Ste 205 Bothell WA 98021-4415 Ph: (425) 317-8025 |
| NPI Number | 1780522615 |
|---|---|
| Provider Enumeration Date | 03/23/2026 |
| Last Update Date | 05/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780522615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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