| Evergreen Health | |
|
12040 Ne 128th St Evergreenhealth Ms-31 Kirkland WA 98034-3013 | |
| (425) 899-2783 | |
| (425) 899-2784 |
| Full Name | Evergreen Health |
|---|---|
| Speciality | Clinic/center |
| Location | 12040 Ne 128th St, Kirkland, Washington |
| Authorized Official Name and Position | Wan-chih Tom (PHARMACIST) |
| Authorized Official Contact | 4258992783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Health 12040 Ne 128th St Evergreenhealth Ms-31 Kirkland WA 98034-3013 Ph: (425) 899-2783 | Evergreen Health 12040 Ne 128th St Evergreenhealth Ms-31 Kirkland WA 98034-3013 Ph: (425) 899-2783 |
| NPI Number | 1962892521 |
|---|---|
| Provider Enumeration Date | 02/03/2015 |
| Last Update Date | 02/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962892521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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