Western Washington Medical Group, Inc Ps
NPI 1003809229 · Primary Care Clinic/Center · Lynnwood, WA
Western Washington Medical Group, Inc Ps is a Primary Care Clinic/Center organization in Lynnwood, WA (NPI 1003809229).
Provider details
- NPI number
- 1003809229
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Western Washington Medical Group, Inc Ps
- Organization subpart
- Yes
- Authorized official
- Corey Friesen, Ceo Administrator(425) 742-9119
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Lake Serene Clinic
Registry dates
- Enumerated
- 2005-08-23
- Last updated
- 2016-02-23
Frequently asked questions
- What is Western Washington Medical Group, Inc Ps's NPI number?
- Western Washington Medical Group, Inc Ps's National Provider Identifier (NPI) is 1003809229, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Western Washington Medical Group, Inc Ps?
- Western Washington Medical Group, Inc Ps is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Western Washington Medical Group, Inc Ps located?
- Western Washington Medical Group, Inc Ps's practice location on file with NPPES is 3501 Shelby Rd, Lynnwood, WA 98087-3599.
- What is Western Washington Medical Group, Inc Ps's phone number?
- The practice phone number listed in the NPPES registry for Western Washington Medical Group, Inc Ps is (425) 742-9119.
- Who is the authorized official for Western Washington Medical Group, Inc Ps?
- The authorized official listed on Western Washington Medical Group, Inc Ps's NPPES record is Corey Friesen, Ceo Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Western Washington Medical Group, Inc Ps's NPI active?
- Yes — Western Washington Medical Group, Inc Ps's NPI (1003809229) is active in the NPPES registry as of the last update on 2016-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.