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 Cardiovascular Disease Physician · NPI 1982551867

Western Washington Medical Group Inc Ps is a Cardiovascular Disease Physician in Everett, Washington. Registered with an NPI since 2026.

In the registry since
2026
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 200
Everett, WA 98208-6676
Phone: (425) 225-2700
Fax: (425) 225-2790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Interventional Cardiology Physician Taxonomy 207RI0011X

Record details

NPI number1982551867
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWestern Washington Medical Group, Inc Ps
Authorized official David Russian — Ceo · (425) 259-4041
Other names Western Washington Medical Group Department Of Cardiology
NPI enumeratedMarch 11, 2026
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address1728 W Marine View Dr Ste 110, Everett, WA 98201-2094

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