Evergreen Medical Center Ps | |
304 N Lieser Rd Vancouver WA 98664-2115 | |
(360) 896-8963 | |
(360) 896-9002 |
Full Name | Evergreen Medical Center Ps |
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Speciality | Clinic/center - Primary Care |
Location | 304 N Lieser Rd, Vancouver, Washington |
Authorized Official Name and Position | Fuhua Holly Guo (MEDICAL DIRECTOR) |
Authorized Official Contact | 3608968963 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Evergreen Medical Center Ps Po Box 873175 Vancouver WA 98687-3175 Ph: (360) 896-8963 | Evergreen Medical Center Ps 304 N Lieser Rd Vancouver WA 98664-2115 Ph: (360) 896-8963 |
NPI Number | 1912953977 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 08/30/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912953977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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