EVERGREEN TREATMENT SERVICES NPI 1508911777

NPI Information

  • NPI: 1508911777
  • Provider Name: EVERGREEN TREATMENT SERVICES
  • Classification: Clinic/Center - 261QM2800X
  • Specialization: Methadone
  • Entity Type: Organization
  • Other Name: EVERGREEN TREATMENT SERVICES, UNIT 1
  • Address: 1700 AIRPORT WAY S
    SEATTLE, WA
    ZIP 98134
  • Phone: (206) 223-3644

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NPI Details

EVERGREEN TREATMENT SERVICES is a methadone clinic center in Seattle, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. EVERGREEN TREATMENT SERVICES NPI is 1508911777. The provider is registered as an organization entity type.
The provider Other Name Is Evergreen Treatment Services, Unit 1.

The provider's business location address is:

1700 AIRPORT WAY S
SEATTLE, WA
ZIP 98134-618
Phone: (206) 223-3644
Fax: (206) 223-1482

The provider's authorized official is Margaret Carney .
The authorized official title is Executive Director and has the following contact phone number (206) 223-3644.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)
  • Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure (HCPCS:G2078)

The enumeration date for this NPI number is 1/25/2007 and was last updated on 1/2/2020.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2800XClinic/CenterMethadone17 0163 00WASHINGTONYes

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
11990100MEDICAIDWASHINGTON
28008203MEDICAIDWASHINGTON

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: 11/21/2025

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