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WESTERN WASHINGTON MEDICAL GROUP INC PS
NPI 1659241875
Pain Medicine - Interventional Pain Medicine in Everett, WA

Active since November 11, 2025
12728 19TH AVE SE STE 300, EVERETT, WA 98208(425) 212-3130(425) 320-1187 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Western Washington Medical Group Inc Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN WASHINGTON MEDICAL GROUP INC PS (NPI 1659241875), doing business as Wwmg Dept Of Interventional Pain Medicine, is a healthcare organization registered as an interventional pain medicine in Everett, Washington and active in the NPI registry since November 2025. The organization lists David Russian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659241875
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameWESTERN WASHINGTON MEDICAL GROUP INC PS
Location Address12728 19TH AVE SE STE 300Everett, WA 98208-6676
Mailing Address1728 W Marine View Dr Ste 110Everett, WA 98201-2094 · (425) 259-4041 · Fax (425) 320-1187
Phone(425) 212-3130
Fax(425) 320-1187
Organization SubpartYes
Authorized OfficialDavid RussianCeo · (425) 259-4041
Enumeration DateNovember 11, 2025
Last NPPES UpdateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1659241875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
12728 19TH AVE SE STE 300, Everett, WA 98208
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Other Names 1

Doing Business AsWwmg Dept Of Interventional Pain Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YA-LAN HUANG MD
Internal Medicine (Nephrology)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 252-6801
DR. SHIRIN KHAN SCHILLING MD
Psychiatry & Neurology (Psychiatry)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 252-1116
DR. PHILLIP KENNETH GREGOIRE MD
Internal Medicine (Critical Care Medicine)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 791-3084
MRS. TRACEY TRINH ARNP
Nurse Practitioner (Family)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 317-8025
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Psychiatry & Neurology (Psychiatry)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 252-1116
DR. DINA VICTOROVNA SHEPELYUK DNP, FNP-BC
Nurse Practitioner (Family)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 317-8025
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Internal Medicine (Nephrology)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 258-6801
WESTERN WASHINGTON MEDICAL GROUP, INC PS
Internal Medicine (Infectious Disease)
12728 19TH AVE SE STE 300
EVERETT, WA 98208
Snohomish County (425) 252-1116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western Washington Medical Group Inc Ps's NPI number?

The NPI number for Western Washington Medical Group Inc Ps is 1659241875. It was assigned to this organization in the NPPES registry on November 11, 2025. The provider is doing business as WWMG Dept of Interventional Pain Medicine.

Where is Western Washington Medical Group Inc Ps located?

Western Washington Medical Group Inc Ps is located at 12728 19th Ave SE Ste 300, Everett, WA 98208. The listed phone number is (425) 212-3130.

What is Western Washington Medical Group Inc Ps's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Western Washington Medical Group Inc Ps was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.