EVERGREEN UROLOGY CONSULTANTS LLC NPI 1013004803

NPI Information

  • NPI: 1013004803
  • Provider Name: EVERGREEN UROLOGY CONSULTANTS LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: ATHENA UROLGOY
  • Address: 6520 226TH PL SE
    SUITE 205
    ISSAQUAH, WA
    ZIP 98027
  • Phone: (425) 392-8611

Map and Directions

Get Directions

NPI Details

EVERGREEN UROLOGY CONSULTANTS LLC is a specialist in Issaquah, 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 UROLOGY CONSULTANTS LLC NPI is 1013004803. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Athena Urolgoy.

The provider's business location address is:

6520 226TH PL SE
SUITE 205
ISSAQUAH, WA
ZIP 98027-969
Phone: (425) 392-8611
Fax: (425) 392-9012

The provider's authorized official is Lora Plaskon .
The authorized official title is Owner and has the following contact phone number (425) 392-8611.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 2/21/2008.

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
1174400000XSpecialistYes

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
1AB35557MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
2DG3321OTHERWASHINGTONRAILROAD MEDICARE

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI