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SNOHOMISH FAMILY MEDICINE
NPI 1760886980
Family Medicine in Snohomish, WA

Active since October 17, 2014CLIA 50D0634827 · Microscopy
629 AVENUE D, SNOHOMISH, WA 98290(360) 568-1554(360) 568-1722 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2016, Feb 16, 2016 (2 updates tracked since 2016).

About Snohomish Family Medicine NPPES

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

SNOHOMISH FAMILY MEDICINE (NPI 1760886980) is a healthcare organization registered as a family medicine in Snohomish, Washington and active in the NPI registry since October 2014. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Vicki Mcginnis, Privacy Officer, as its authorized official.

NPPES Registry Identity

NPI1760886980
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWESTERN WASHINGTON MEDICAL GROUP, INC PS
Location Address629 AVENUE DSnohomish, WA 98290-2330
Mailing Address1728 W Marine View Dr, Suite 110Everett, WA 98201-2094 · (425) 259-4041 · Fax (425) 252-6642
Phone(360) 568-1554
Fax(360) 568-1722
Organization SubpartNo
Authorized OfficialVicki McginnisPrivacy Officer · (425) 259-4041
Enumeration DateOctober 17, 2014
Last NPPES UpdateFebruary 23, 20162 updates tracked since enumeration
✔ NPI 1760886980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
629 AVENUE D, Snohomish, WA 98290
Open in Google Maps ↗

Other Names 1

Doing Business AsSnohomish Family 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0634827

Western Washington Medical Group Dept Of Family Medicine-Snohomish · Snohomish, WA
Active · expires Apr 4, 2028
CLIA Number50D0634827
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorWilliam D. Trotter
Laboratory Phone(360) 568-1554
Laboratory LocationWestern Washington Medical Group Dept Of Family Medicine-Snohomish629 Avenue D Ste 1, Snohomish, WA 98290
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 14

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

WILLIAM BRADLEE GERRISH M.D.
Family Medicine
629 AVENUE D
SNOHOMISH, WA 98290
Snohomish County (360) 568-1554
JASON C DAVIS P.A. -C
Physician Assistant
629 AVENUE D
SNOHOMISH, WA 98290
Snohomish County (253) 820-3510
KANCHANA D ALLAN
Nurse Practitioner (Family)
629 AVENUE D
SNOHOMISH, WA 98290
Snohomish County (360) 568-1554
WILLIAM DOUGLAS TROTTER M.D.
Family Medicine
629 AVENUE D
SNOHOMISH, WA 98290
Snohomish County (360) 568-1554
MS. HANNAH K THOMPSON PA
Physician Assistant
629 AVENUE D
SNOHOMISH, WA 98290
Snohomish County (360) 568-1554
BRIAN EIRIK COE, O.D., P.S., INC
Optometrist
629 AVENUE D
SNOHOMISH, WA 98290
Snohomish County (360) 568-1551
PAMELA ELIZABETH WIREMAN PA-C
Physician Assistant
629 AVENUE D
SNOHOMISH, WA 98290
Snohomish County (360) 568-0502
IVAL L SALYER MD
Family Medicine
629 AVENUE D
SNOHOMISH, WA 98290
Snohomish County (360) 568-1554

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 1760886980. It was assigned to this organization in the NPPES registry on October 17, 2014. The provider is doing business as Snohomish Family Medicine.

Where is Western Washington Medical Group, Inc Ps located?

Western Washington Medical Group, Inc Ps is located at 629 Avenue D, Snohomish, WA 98290. The listed phone number is (360) 568-1554.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Western Washington Medical Group, Inc Ps hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0634827) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Western Washington Medical Group, Inc Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Western Washington Medical Group, Inc Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Western Washington Medical Group, Inc Ps was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.