| Evergreenhealth | |
|
11521 Ne 128th St Suite 100 Kirkland WA 98034-4317 | |
| (425) 899-6797 | |
| (425) 899-6808 |
| Full Name | Evergreenhealth |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11521 Ne 128th St, Kirkland, Washington |
| Authorized Official Name and Position | Connie Smith (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4258996800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreenhealth 11521 Ne 128th St Suite 100 Kirkland WA 98034-4317 Ph: (425) 899-6797 | Evergreenhealth 11521 Ne 128th St Suite 100 Kirkland WA 98034-4317 Ph: (425) 899-6797 |
| NPI Number | 1164876322 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 04/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164876322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | PH60004517 (Washington) | Primary |
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