EVERGREEN CENTER FOR INTEGRATIVE MEDICINE PLLC NPI 1194483289

NPI Information

NPI: 1194483289
Provider Name: EVERGREEN CENTER FOR INTEGRATIVE MEDICINE PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2008 NE 65TH ST
SEATTLE, WA
ZIP 98115
Phone: (206) 729-0907
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EVERGREEN CENTER FOR INTEGRATIVE MEDICINE PLLC is a primary care clinic center in Seattle, WA. EVERGREEN CENTER FOR INTEGRATIVE MEDICINE PLLC NPI is 1194483289. The provider is registered as an organization entity type.

The provider's business location address is:

2008 NE 65TH ST
SEATTLE, WA
ZIP 98115-934
Phone: (206) 729-0907
Fax: (206) 729-0199

The provider's authorized official is Amanda Baker .
The authorized official title is Practice Manager and has the following contact phone number (206) 729-0907.

The enumeration date for this NPI number is 12/6/2021 and was last updated on 12/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1881741288	OTHER		INDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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