EVERGREEN NEPHROLOGY ASSOCIATES PLLC NPI 1942254362

NPI Information

EVERGREEN NEPHROLOGY ASSOCIATES PLLC is a specialist in Tacoma, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EVERGREEN NEPHROLOGY ASSOCIATES PLLC NPI is 1942254362. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1708 YAKIMA AVE
SUITE 107
TACOMA, WA
ZIP 98405-307
Phone: (253) 272-5881
Fax: (253) 383-0161

The provider's authorized official is Thomas Jacob Martin .
The authorized official title is Owner and has the following contact phone number (253) 272-5881.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.