MEDICARE: WESTERN WASHINGTON MEDICAL GROUP, INC PS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1003809229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN WASHINGTON MEDICAL GROUP, INC PS

Provider Business Mailing Address
First Line	:	3501 SHELBY RD
Second Line	:	SUITE B
City	:	LYNNWOOD
State	:	WA
Zip	:	98087-3599
Country	:	US
Telephone Number	:	425-742-9119
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 SHELBY RD
Second Line	:	SUITE B
City	:	LYNNWOOD
State	:	WA
Zip	:	98087-3599
Country	:	US
Telephone Number	:	425-742-9119
Fax Number	:

Authorized Official
Title or Position	:	CEO ADMINISTRATOR
Name	:	MR. COREY DON FRIESEN
Credential	:
Telephone Number	:	425-742-9119

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	02/23/2016

Similar Medicare Providers

1063405017 — MR. JOSHUA MICHAEL WEBB RN, MSN, ARNP
Practice Location Address:

3501 SHELBY RD , SUITE B
LYNNWOOD, WA
98087-3599

Practice Phone: 425-742-9119
Practice Fax: 425-787-1055

1750374799 — MRS. ANDREA LYNN FRIESEN RN, MSN, ARNP
Practice Location Address:

3501 SHELBY RD , SUITE B
LYNNWOOD, WA
98087-3599

Practice Phone: 425-742-9119
Practice Fax: 425-787-1055

1962495903 — MR. GREGORY ALAN LIND RN, MSN, ARNP
Practice Location Address:

3501 SHELBY RD , SUITE B
LYNNWOOD, WA
98087-3599

Practice Phone: 425-742-9119
Practice Fax: 425-787-1055

1376615500 — JAMES TO D.M.D.
Practice Location Address:

3501 SHELBY RD STE A
LYNNWOOD, WA
98087-3599

Practice Phone: 425-743-2999
Practice Fax: 425-742-3722

1346398823 — MR. CHAD ERIC TRIPLETT L.M.P.
Practice Location Address:

3501 SHELBY RD , SUITE C
LYNNWOOD, WA
98087-3599

Practice Phone: 425-745-9052
Practice Fax: 425-745-3372

1013067008 — MS. SHANNON LYNNE QUENZER LMP
Practice Location Address:

3501 SHELBY RD STE C
LYNNWOOD, WA
98087-3599

Practice Phone: 425-745-9052
Practice Fax: 425-745-3372

Directions to “WESTERN WASHINGTON MEDICAL GROUP, INC PS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.