OrganizationActive
Western Washington Medical Group
NPI 1194045542 · Specialist · Bothell, WA
Provider details
- NPI number
- 1194045542
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jerome Tillinger, Ceo(425) 259-4041
- License
- 207R00000X (WA)
Specialties & taxonomies
Other Service Providers
Allopathic & Osteopathic Physicians
Other Service Providers
Other Service Providers
Other Service Providers
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1909 214th St Se
Suite 211
Bothell, WA 98021-4412
Phone: (425) 420-1655
Street-level locationGet directions
Mailing address
1728 W Marine View Dr
Everett, WA 98201-2094
Registry dates
- Enumerated
- 2010-06-08
- Last updated
- 2011-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.