| Evergreen Healthcare | |
|
12040 Ne 128th St Kirkland WA 98034-3013 | |
| (425) 899-1000 | |
| Not Available |
| Full Name | Evergreen Healthcare |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 12040 Ne 128th St, Kirkland, Washington |
| Authorized Official Name and Position | Chrissy Yamada (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4258992600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Healthcare Po Box 11610 Tacoma WA 98411-6610 Ph: (425) 899-1000 | Evergreen Healthcare 12040 Ne 128th St Kirkland WA 98034-3013 Ph: (425) 899-1000 |
| NPI Number | 1184796799 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184796799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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