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WESTERN WASHINGTON MEDICAL GROUP INC PS NPI 1760886980


NPI Information

NPI: 1760886980
Provider Name: WESTERN WASHINGTON MEDICAL GROUP, INC PS

Doing Business As: SNOHOMISH FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 50D2159782

Address:
629 AVENUE D
SNOHOMISH, WA
ZIP 98290
Phone: (360) 568-1554
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WESTERN WASHINGTON MEDICAL GROUP, INC PS is a family medicine in Snohomish, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WESTERN WASHINGTON MEDICAL GROUP, INC PS NPI is 1760886980. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Snohomish Family Medicine.

The provider's business location address is:

629 AVENUE D
SNOHOMISH, WA
ZIP 98290-330
Phone: (360) 568-1554
Fax: (360) 568-1722

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

The CLIA number assigned to this NPI record is 50D2159782 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/17/2014 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2207Q00000XFamily MedicineYes

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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