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 Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1659241875

Western Washington Medical Group Inc Ps is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Everett, Washington. Registered with an NPI since 2025.

In the registry since
2025
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 98208-6676
Phone: (425) 212-3130
Fax: (425) 320-1187
Show map & directions

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

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X

Record details

NPI number1659241875
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWestern Washington Medical Group Inc Ps
Authorized official David Russian — Ceo · (425) 259-4041
Other names Wwmg Dept Of Interventional Pain Medicine
NPI enumeratedNovember 11, 2025
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address1728 W Marine View Dr Ste 110, Everett, WA 98201-2094

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