WESTERN WASHINGTON MEDICAL GROUP INC PS – NPI #1659241875
Pain Medicine

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.

Health Care Provider Taxonomy Code for Pain Medicine

WESTERN WASHINGTON MEDICAL GROUP INC PS is a provider located in EVERETT, WA. NPPES has assigned the NPI number 1659241875 to WESTERN WASHINGTON MEDICAL GROUP INC PS on November 11, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was last updated on Nov 12, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WESTERN WASHINGTON MEDICAL GROUP INC PS below.

NPI Profile for
WESTERN WASHINGTON MEDICAL GROUP INC PS

NPI Number
1659241875
Enumeration Date

(about 7 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WESTERN WASHINGTON MEDICAL GROUP INC PS
Primary location
12728 19TH AVE SE STE 300
EVERETT, WA 98208-6676
Phone: (425) 212-3130 Fax: (425) 320-1187
Mailing address
1728 W MARINE VIEW DR STE 110
EVERETT, WA 98201-2094
Phone: (425) 259-4041 Fax: (425) 320-1187
Organization Subpart
Yes - WESTERN WASHINGTON MEDICAL GROUP INC PS is subpart of another organization.
Authorized Official
DAVID RUSSIAN
CEO
Phone: (425) 259-4041
Updated
Certification Date
Nov 12, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.