| Ms Center At Evergreen | |
|
12039 Ne 128th St Ste 300 Kirkland WA 98034-3030 | |
| (425) 899-5350 | |
| (425) 899-5355 |
| Full Name | Ms Center At Evergreen |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 12039 Ne 128th St, Kirkland, Washington |
| Authorized Official Name and Position | William Howe (CFO) |
| Authorized Official Contact | 4258992606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Center At Evergreen Po Box 102928 Pasadena CA 91189-2928 Ph: (425) 899-3868 | Ms Center At Evergreen 12039 Ne 128th St Ste 300 Kirkland WA 98034-3030 Ph: (425) 899-5350 |
| NPI Number | 1265527584 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265527584 | NPI | - | NPPES |
| CJ9678 | Other | WA | MEDICARE RAILROAD |
| CG2833 | Other | WA | MEDICARE RAILROAD |
| CG8137 | Other | WA | MEDICARE RAILROAD |
| 7141351 | Medicaid | WA | |
| 7132525 | Medicaid | WA | |
| CQ2437 | Other | WA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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