| Evergreen Psychiatry, Llc | |
|
801 Samish Way Bellingham WA 98229-2901 | |
| (360) 255-2505 | |
| Not Available |
| Full Name | Evergreen Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 801 Samish Way, Bellingham, Washington |
| Authorized Official Name and Position | Amber Kostial (OWNER/OPERATOR) |
| Authorized Official Contact | 8016359580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Psychiatry, Llc 801 Samish Way Bellingham WA 98229-2901 Ph: () - | Evergreen Psychiatry, Llc 801 Samish Way Bellingham WA 98229-2901 Ph: (360) 255-2505 |
| NPI Number | 1669926556 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 08/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669926556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 60564652 (Washington) | Primary |
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