| Western Wa Medical Group, Dept Of Primary Care | |
|
4225 Hoyt Ave Ste D Everett WA 98203-2351 | |
| (425) 317-8025 | |
| (425) 317-9516 |
| Full Name | Western Wa Medical Group, Dept Of Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 4225 Hoyt Ave Ste D, Everett, Washington |
| Authorized Official Name and Position | Amelia Edens (DIRECTOR OF PATIENT FINANCIAL SVCS) |
| Authorized Official Contact | 4257404142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Wa Medical Group, Dept Of Primary Care 1728 W Marine View Dr Ste 110 Everett WA 98201-2094 Ph: (425) 317-8025 | Western Wa Medical Group, Dept Of Primary Care 4225 Hoyt Ave Ste D Everett WA 98203-2351 Ph: (425) 317-8025 |
| NPI Number | 1649498049 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649498049 | NPI | - | NPPES |
| 0176782 | Other | WA | LABOR & INDUSTRY |
| CB3566 | Other | WA | RAILROAD MEDICARE |
| 7108012 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 601474013 (Washington) | Primary |
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