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 Nephrology Physician · NPI 1417175811

Western Washington Medical Group, Inc Ps is a Nephrology Physician in Everett, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
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 98208-6676
Phone: (425) 258-6801
Fax: (425) 258-1944
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 601474013 (WA)

Record details

NPI number1417175811
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWestern Washington Medical Group
Authorized official Vicki McGinnis — Hippa Privacy Officer · (425) 259-4041
Other names Western Wa Medical Group Dept Of Nephrology
NPI enumeratedApril 23, 2007
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024
Mailing address12728 19th Ave Se Ste 300, Everett, WA 98208-6676

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