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

Western Washington Medical Group, Inc Ps

Organization Psychiatry Physician · NPI 1396413803

Western Washington Medical Group, Inc Ps is a Psychiatry Physician in Everett, Washington. Registered with an NPI since 2021.

In the registry since
2021
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
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1396413803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Holstein — Director Corporate Compliance · (425) 259-4041
Other names Wwmg Department Of Psychiatry
NPI enumeratedAugust 31, 2021
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021
Mailing address1728 W Marine View Dr Ste 110, Everett, WA 98201-2094

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