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EVERGREEN WOMEN'S HEALTH PC NPI 1467940726


NPI Information

NPI: 1467940726
Provider Name: EVERGREEN WOMEN'S HEALTH, PC

Former Legal Business Name: EVERGREEN INTEGRATIVE GYNECOLOGY

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

CLIA Number: 50D2153783

Address:
1207 WASHINGTON ST UNIT 145
VANCOUVER, WA
ZIP 98660
Phone: (360) 964-3060
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EVERGREEN WOMEN'S HEALTH, PC is a gynecology obstetrics gynecology in Vancouver, WA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee EVERGREEN WOMEN'S HEALTH, PC NPI is 1467940726. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Evergreen Integrative Gynecology.

The provider's business location address is:

1207 WASHINGTON ST UNIT 145
VANCOUVER, WA
ZIP 98660-997
Phone: (360) 964-3060
Fax: (360) 258-0757

The provider's authorized official is D'ann Sprinkle .
The authorized official title is Practice Administrator and has the following contact phone number (360) 964-3060.

The CLIA number assigned to this NPI record is 50D2153783 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/23/2018 and was last updated on 8/31/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecology00041848WASHINGTONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11700866084MEDICAIDWASHINGTON

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

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