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 Registered Dietitian · NPI 1649535642

Western Washington Medical Group Inc Ps provides Registered Dietitian services 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 Not confirmed with CMS for 10 years — call before visiting
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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