Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Western Washington Medical Group, Inc Ps

Organization Psychiatry Physician · NPI 1396413803

Western Washington Medical Group, Inc Ps provides Psychiatry Physician services in Everett, Washington. Registered with an NPI since 2021.

In the registry since
2021
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) 252-1116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1396413803
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Holstein — Director Corporate Compliance · (425) 259-4041
Other names Wwmg Department Of Psychiatry
NPI enumeratedAugust 31, 2021
Last updated in NPPESAugust 31, 2021
Certification dateAugust 31, 2021
Mailing address1728 W Marine View Dr Ste 110, Everett, WA 98201-2094

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