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

Western Washington Medical Group, Inc Ps

Organization Critical Care Medicine (Internal Medicine) Physician · NPI 1215155619

Western Washington Medical Group, Inc Ps is a Critical Care Medicine (Internal Medicine) Physician in Everett, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12728 19th Ave SE Ste 300
Everett, WA 98208-6526
Phone: (425) 252-1116
Fax: (425) 252-1118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 601474013 (WA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 601474013 (WA)

Record details

NPI number1215155619
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWestern Washington Medical Group
Authorized official Vicki McGinnis — Privacy Officer · (425) 259-4041
Other names Western Wa Med Grp Dept Of Pulmonary, Sleep Disorders, Critical Care
NPI enumeratedApril 23, 2007
Last updated in NPPESFebruary 23, 2016
Mailing address12728 19th Ave Se, Suite 300, Everett, WA 98208-6526

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