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CENTER FOR WOMENS HEALTH AT EVERGREEN NPI 1619070497


NPI Information

NPI: 1619070497
Provider Name: CENTER FOR WOMENS HEALTH AT EVERGREEN
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 50D0941548

Address:
12303 NE 130TH LN
SUITE 500
KIRKLAND, WA
ZIP 98034
Phone: (425) 899-4455
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CENTER FOR WOMENS HEALTH AT EVERGREEN is an obstetrics gynecology in Kirkland, WA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CENTER FOR WOMENS HEALTH AT EVERGREEN NPI is 1619070497. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12303 NE 130TH LN
SUITE 500
KIRKLAND, WA
ZIP 98034-099
Phone: (425) 899-4455
Fax: (425) 899-4434

The provider's authorized official is Deborah Susan Porter Peterson .
The authorized official title is Administrative Director and has the following contact phone number (425) 899-4455.

The CLIA number assigned to this NPI record is 50D0941548 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/6/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

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

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