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 Registered Dietitian · NPI 1649535642

Western Washington Medical Group Inc Ps is a Registered Dietitian in Bothell, Washington. Licensed in Washington. Registered with an NPI since 2012.

Licensed in
WA
In the registry since
2012
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

1909 214th St SE Ste 211
Bothell, WA 98021-4412
Phone: (425) 259-4041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X (WA)

Record details

NPI number1649535642
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWestern Washington Medical Group
Authorized official Kim Holstein — Director Pfs · (425) 259-4041
Other names Wwmg Diabetic Education
NPI enumeratedJuly 6, 2012
Last updated in NPPESSeptember 23, 2016
Mailing address1728 W Marine View Dr, Everett, WA 98201-2094

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