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WESTERN WASHINGTON MEDICAL GROUP INC PS
NPI 1780522615
Family Medicine in Bothell, WA

Active since March 23, 2026
1909 214TH ST SE STE 205, BOTHELL, WA 98021(425) 317-8025(425) 317-9516 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2026, Apr 22, 2026, Apr 17, 2026 and 1 more (4 updates tracked since 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 1780522615) is a healthcare organization registered as a family medicine in Bothell, Washington and active in the NPI registry since March 2026. The organization lists David Russian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780522615
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWESTERN WASHINGTON MEDICAL GROUP INC PS
Location Address1909 214TH ST SE STE 205Bothell, WA 98021-4415
Mailing Address1728 W Marine View Dr Ste 110Everett, WA 98201-2094 · (425) 317-8025 · Fax (425) 317-9516
Phone(425) 317-8025
Fax(425) 317-9516
Organization SubpartYes
Authorized OfficialDavid RussianCeo · (425) 259-4041
Enumeration DateMarch 23, 2026
Last NPPES UpdateMay 8, 20264 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1780522615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1909 214TH ST SE STE 205, Bothell, WA 98021
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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

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

WESTERN WASHINGTON MEDICAL GROUP, INC PS
Internal Medicine (Rheumatology)
1909 214TH ST SE STE 205
BOTHELL, WA 98021
Snohomish County (425) 248-2626

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 1780522615. It was assigned to this organization in the NPPES registry on March 23, 2026.

Where is Western Washington Medical Group Inc Ps located?

Western Washington Medical Group Inc Ps is located at 1909 214th St SE Ste 205, Bothell, WA 98021. The listed phone number is (425) 317-8025.

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

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

When was this NPI record last updated?

The NPPES record for Western Washington Medical Group Inc Ps was last updated on May 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.