NPI 1659241875
Western Washington Medical Group INC Ps
Practice location
- Address
- 12728 19th Ave SE STE 300, Everett, WA 98208-6676
- Phone
- (425) 212-3130
- Fax
- (425) 320-1187
- Mailing address
- 1728 W Marine View Dr STE 110, Everett, WA 98201-2094
Authorised official
- Name
- David Russian
- Title
- Ceo
- Phone
- (425) 259-4041
Registered specialties (2)
Interventional Pain Medicine Physician
Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1659241875
- Entity type
- Organization
- NPI issued
- 11 Nov 2025
- Record last updated
- 12 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.