| Evergreen Medical Group Redmond | |
|
8301 161st Ave Ne Ste 308 Redmond WA 98052-3858 | |
| (425) 882-5020 | |
| (425) 882-5021 |
| Full Name | Evergreen Medical Group Redmond |
|---|---|
| Speciality | Family Medicine |
| Location | 8301 161st Ave Ne, Redmond, Washington |
| Authorized Official Name and Position | Robert Malte (CEO) |
| Authorized Official Contact | 4258992610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Medical Group Redmond Po Box 34036 Seattle WA 98124-1036 Ph: (425) 899-3292 | Evergreen Medical Group Redmond 8301 161st Ave Ne Ste 308 Redmond WA 98052-3858 Ph: (425) 882-5020 |
| NPI Number | 1578653747 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 01/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578653747 | NPI | - | NPPES |
| CG8137 | Other | WA | MEDICARE RAILROAD |
| CJ9678 | Other | WA | MEDICARE RAILROAD |
| CQ2437 | Other | WA | MEDICARE RAILROAD |
| 7072333 | Medicaid | WA | |
| CG2833 | Other | WA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Living Well Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3925 159th Ave Ne, Redmond, WA 98052 Phone: 425-216-0550 Fax: 425-216-0551 | |
Primary Care Redmond, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8301 161st Ave Ne, Suite 100, Redmond, WA 98052 Phone: 425-895-8600 | |
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Evergreen Speech And Hearing Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8301 161st Ave Ne, #203, Redmond, WA 98052 Phone: 425-882-4347 Fax: 425-883-0043 | |
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