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WESTERN WASHINGTON MEDICAL GROUP INC PS NPI 1093933491


NPI Information

NPI: 1093933491
Provider Name: WESTERN WASHINGTON MEDICAL GROUP, INC PS

Doing Business As: WESTERN WA MEDICAL GROUP DEPT OF RHEUMATOLOGY

Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
4225 HOYT AVE STE C
EVERETT, WA
ZIP 98203
Phone: (425) 252-8375
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WESTERN WASHINGTON MEDICAL GROUP, INC PS is a rheumatology internal medicine in Everett, WA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. WESTERN WASHINGTON MEDICAL GROUP, INC PS NPI is 1093933491. 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 Rheumatology.

The provider's business location address is:

4225 HOYT AVE STE C
EVERETT, WA
ZIP 98203-351
Phone: (425) 252-8375
Fax: (425) 252-8364

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RR0500XInternal MedicineRheumatology601474013WASHINGTONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17103641MEDICAIDWASHINGTON
20141951OTHERWASHINGTONLABOR & INDUSTRY
3DC9098OTHERWASHINGTONRAILROAD MEDICARE

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: 5/5/2024

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.