| Evergreenhealth Medical Group Snohomish County | |
|
1909 214th St Se Suite 110 Bothell WA 98021-8486 | |
| (425) 488-4988 | |
| (425) 488-4993 |
| Full Name | Evergreenhealth Medical Group Snohomish County |
|---|---|
| Speciality | Family Medicine |
| Location | 1909 214th St Se, Bothell, 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 Snohomish County Po Box 102928 Pasadena CA 91189-2928 Ph: (425) 899-3868 | Evergreenhealth Medical Group Snohomish County 1909 214th St Se Suite 110 Bothell WA 98021-8486 Ph: (425) 488-4988 |
| NPI Number | 1902907165 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902907165 | NPI | - | NPPES |
| CG2833 | Other | WA | MEDICARE RAILROAD |
| 7072358 | Medicaid | WA | |
| CJ9678 | Other | WA | MEDICARE RAILROAD |
| CQ2437 | Other | WA | MEDICARE RAILROAD |
| CG8137 | Other | WA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
Evergreenhealth Lakeshore Bothell Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10131 Main St, Bothell, WA 98011 Phone: 425-485-3955 Fax: 425-485-1476 | |
Twilight Years Geriatric Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 228th St Sw, Bothell, WA 98021 Phone: 425-742-7953 Fax: 425-742-3683 | |
Northshore Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11913 Ne 195th St, Bothell, WA 98011 Phone: 425-489-3100 Fax: 425-489-3183 | |
Maksportsmd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 19110 Bothell Way Ne Ste 102, Bothell, WA 98011 Phone: 425-286-8271 Fax: 425-491-7271 | |
Comfort Vision Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1912 201st Pl Se, Suite 204, Bothell, WA 98012 Phone: 425-485-6812 Fax: 425-485-6813 | |
Bothell Foot & Ankle Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18525 101st Ave Ne Ste 3, Bothell, WA 98011 Phone: 425-806-1943 Fax: 425-402-3900 | |
Canyon Creek Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19125 N Creek Pkwy, Suite 204, Bothell, WA 98011 Phone: 425-424-2201 Fax: 425-398-4172 |