| Evergreen Sleep Disorders Clinic | |
|
11521 Ne 128th St Ste 130 Kirkland WA 98034-4317 | |
| (425) 899-4280 | |
| (425) 899-4294 |
| Full Name | Evergreen Sleep Disorders Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 11521 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 |
|---|---|
| Evergreen Sleep Disorders Clinic Po Box 102928 Pasadena CA 91189-2928 Ph: (425) 899-3868 | Evergreen Sleep Disorders Clinic 11521 Ne 128th St Ste 130 Kirkland WA 98034-4317 Ph: (425) 899-4280 |
| NPI Number | 1750482949 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750482949 | NPI | - | NPPES |
| CQ2437 | Other | WA | MEDICARE RAILROAD |
| CG2833 | Other | WA | MEDICARE RAILROAD |
| CJ9678 | Other | WA | MEDICARE RAILROAD |
| 7117872 | Medicaid | WA | |
| CG8137 | Other | WA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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