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 Endocrinology, Diabetes & Metabolism Physician · NPI 1902024300

Western Washington Medical Group, Inc Ps is an Endocrinology, Diabetes & Metabolism Physician in Mukilteo, 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

8423 Mukilteo Speedway Ste 102
Mukilteo, WA 98275-3237
Phone: (425) 412-4311
Fax: (425) 374-8896
Show map & directions

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

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence 601474013 (WA)

Record details

NPI number1902024300
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWestern Washington Medical Group
Authorized official Amelia Edens — Director Of Patient Financial Svcs · (425) 740-4142
Other names Western Wa Medical Group Dept Of Endocrinology
NPI enumeratedApril 23, 2007
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023
Mailing address1728 W Marine View Dr Ste 110, Everett, WA 98201-2094

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