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WESTERN WASHINGTON MEDICAL GROUP INC PS NPI 1649535642


NPI Information

NPI: 1649535642
Provider Name: WESTERN WASHINGTON MEDICAL GROUP INC PS

Doing Business As: WWMG DIABETIC EDUCATION

Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
1909 214TH ST SE
SUITE 211
BOTHELL, WA
ZIP 98021
Phone: (425) 259-4041
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WESTERN WASHINGTON MEDICAL GROUP INC PS is a dietitian registered in Bothell, WA. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. WESTERN WASHINGTON MEDICAL GROUP INC PS NPI is 1649535642. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wwmg Diabetic Education.

The provider's business location address is:

1909 214TH ST SE
SUITE 211
BOTHELL, WA
ZIP 98021-412
Phone: (425) 259-4041

The provider's authorized official is Kim Holstein .
The authorized official title is Director Pfs and has the following contact phone number (425) 259-4041.

The enumeration date for this NPI number is 7/6/2012 and was last updated on 9/23/2016.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredWASHINGTONYes

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

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