EVERGREEN PEDIATRICS PLLC NPI 1184885675

NPI Information

EVERGREEN PEDIATRICS PLLC is a primary care clinic center in Kirkland, WA. EVERGREEN PEDIATRICS PLLC NPI is 1184885675. The provider is registered as an organization entity type.
The provider Other Name Is Basma Raees.

The provider's business location address is:

433 STATE ST S STE 1
KIRKLAND, WA
ZIP 98033-615
Phone: (425) 828-3626
Fax: (425) 828-3628

The provider's authorized official is Basma Raees .
The authorized official title is Owner and has the following contact phone number (425) 828-3626.

The CLIA number assigned to this NPI record is 50D0882349 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2008 and was last updated on 2/20/2013.

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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