OrganizationActive
Western Washington Medical Group Inc Ps
NPI 1659241875 · Interventional Pain Medicine Physician · Everett, WA
Provider details
- NPI number
- 1659241875
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Western Washington Medical Group Inc Ps
- Organization subpart
- Yes
- Authorized official
- David Russian, Ceo(425) 259-4041
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
12728 19th Ave Se Ste 300
Everett, WA 98208-6676
Phone: (425) 212-3130
Fax: (425) 320-1187
Street-level locationGet directions
Mailing address
1728 W Marine View Dr Ste 110
Everett, WA 98201-2094
Other names (DBA / former)
- Doing business as
- Wwmg Dept of Interventional Pain Medicine
Registry dates
- Enumerated
- 2025-11-11
- Last updated
- 2025-11-12
- Certified
- 2025-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.