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 Neurocritical Care Physician · NPI 1568916682

Western Washington Medical Group Inc Ps is a Neurocritical Care Physician in Everett, Washington. Registered with an NPI since 2016.

In the registry since
2016
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) 259-4041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurocritical Care Physician (primary) Taxonomy 2084A2900X
Neurology Physician Taxonomy 2084N0400X

Record details

NPI number1568916682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Bae — Contract Analyst/Credentialing Coor · (425) 259-4041
Other names Wwmg Dept Of Neurology; Wwmg Dept Of Neurology; Wwmg Dept Of Neurology Hospitalist
NPI enumeratedAugust 5, 2016
Last updated in NPPESJune 19, 2024
Certification dateJune 17, 2024
Mailing address1728 W Marine View Dr, Suite 110, Everett, WA 98201-2094