THE EVERGREEN STATE COLLEGE NPI 1114195898

NPI Information

THE EVERGREEN STATE COLLEGE is a student health clinic center in Olympia, WA. THE EVERGREEN STATE COLLEGE NPI is 1114195898. The provider is registered as an organization entity type.

The provider's business location address is:

2700 EVERGREEN PKWY NW
SEMINAR 1 2110
OLYMPIA, WA
ZIP 98505-005
Phone: (360) 867-6808
Fax: (360) 867-6787

The provider's authorized official is Elizabeth Mchugh .
The authorized official title is Director Of Counseling & Health Svc and has the following contact phone number (360) 867-6808.

The CLIA number assigned to this NPI record is 50D0881779 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/14/2008 and was last updated on 2/14/2008.

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:

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