EVERGREEN MEDICAL SOLUTIONS LLC NPI 1558134338

NPI Information

  • NPI: 1558134338
  • Provider Name: EVERGREEN MEDICAL SOLUTIONS LLC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 38D2305248
  • Address: 2250 NW FLANDERS ST STE 109
    PORTLAND, OR
    ZIP 97210
  • Phone: (503) 479-7713

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NPI Details

EVERGREEN MEDICAL SOLUTIONS LLC is an urgent care clinic center in Portland, OR. EVERGREEN MEDICAL SOLUTIONS LLC NPI is 1558134338. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2250 NW FLANDERS ST STE 109
PORTLAND, OR
ZIP 97210-409
Phone: (503) 479-7713
Fax: (503) 594-4039

The provider's authorized official is Andrew Miller .
The authorized official title is Owner and has the following contact phone number (503) 479-7713.

The CLIA number assigned to this NPI record is 38D2305248 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2023 and was last updated on 10/29/2025.

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
1208D00000XGeneral PracticeNo
2261QU0200XClinic/CenterUrgent CareYes

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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