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EVERGREENHEALTH NPI 1164876322


NPI Information

NPI: 1164876322
Provider Name: EVERGREENHEALTH
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
11521 NE 128TH ST
SUITE 100
KIRKLAND, WA
ZIP 98034
Phone: (425) 899-6797
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EVERGREENHEALTH is a primary care clinic center in Kirkland, WA. EVERGREENHEALTH NPI is 1164876322. The provider is registered as an organization entity type.

The provider's business location address is:

11521 NE 128TH ST
SUITE 100
KIRKLAND, WA
ZIP 98034-317
Phone: (425) 899-6797
Fax: (425) 899-6808

The provider's authorized official is Connie Smith .
The authorized official title is Medical Director and has the following contact phone number (425) 899-6800.

The enumeration date for this NPI number is 4/14/2016 and was last updated on 4/14/2016.


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
1261QP2300XClinic/CenterPrimary CarePH60004517WASHINGTONYes

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

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.