EVERGREEN SURGERY CENTER LLC NPI 1689655334

NPI Information

EVERGREEN SURGERY CENTER, LLC is an ambulatory surgical clinic center in Kirkland, WA. EVERGREEN SURGERY CENTER, LLC NPI is 1689655334. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Surgical Center.

The provider's business location address is:

12333 NE 130TH LN
SUITE 500
KIRKLAND, WA
ZIP 98034-467
Phone: (425) 899-5656
Fax: (425) 899-5638

The provider's authorized official is Jeff Tomlin .
The authorized official title is Executive Director and has the following contact phone number (425) 899-5656.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 9/20/2007.

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:

Other Identifiers

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