| Evergreenhealth Medical Group King County | |
|
8980 161st Ave Ne Suite 400 Redmond WA 98052-7554 | |
| (425) 899-2273 | |
| (425) 899-2272 |
| Full Name | Evergreenhealth Medical Group King County |
|---|---|
| Speciality | Clinic/center |
| Location | 8980 161st Ave Ne, Redmond, 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 |
|---|---|
| Evergreenhealth Medical Group King County Po Box 102928 Pasadena CA 91189-2928 Ph: (425) 899-3868 | Evergreenhealth Medical Group King County 8980 161st Ave Ne Suite 400 Redmond WA 98052-7554 Ph: (425) 899-2273 |
| NPI Number | 1750612883 |
|---|---|
| Provider Enumeration Date | 01/29/2010 |
| Last Update Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750612883 | NPI | - | NPPES |
| CQ2437 | Other | WA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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