| Evergreen Medical Group | |
|
12040 Ne 128th St Ms-10 Kirkland WA 98034-3013 | |
| (425) 899-3270 | |
| (425) 899-3269 |
| Full Name | Evergreen Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 12040 Ne 128th St, Kirkland, Washington |
| Authorized Official Name and Position | Steve Brown (CEO) |
| Authorized Official Contact | 4258992491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Medical Group Po Box 34603 Seattle WA 98124-1603 Ph: (425) 899-3270 | Evergreen Medical Group 12040 Ne 128th St Ms-10 Kirkland WA 98034-3013 Ph: (425) 899-3270 |
| NPI Number | 1215194774 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215194774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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