Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Western Washington Medical Group

Organization Specialist · NPI 1194045542

Western Washington Medical Group is a Specialist in Bothell, Washington. Licensed in Washington. Registered with an NPI since 2010.

Licensed in
WA
In the registry since
2010
Specialties on file
7

Practice location Address checks out

1909 214th St SE Ste 211
Bothell, WA 98021-4412
Phone: (425) 420-1655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 207RE0101X (WA)
Specialist Taxonomy 174400000X · Licence 207RG0100X (WA)
Specialist Taxonomy 174400000X · Licence 207RC0000X (WA)
Specialist Taxonomy 174400000X · Licence 213E00000X (WA)
Specialist Taxonomy 174400000X · Licence 207Y00000X (WA)
Specialist Taxonomy 174400000X · Licence 291U00000X (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 207R00000X (WA)

Record details

NPI number1194045542
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerome Tillinger — Ceo · (425) 259-4041
NPI enumeratedJune 8, 2010
Last updated in NPPESNovember 23, 2011
Mailing address1728 W Marine View Dr, Suite 110, Everett, WA 98201-2094

Other providers in Bothell