Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVERGREEN PEDIATRIC CLINIC PS
Active OrganizationEVERGREEN PEDIATRIC CLINIC PS is a Adolescent Medicine (Pediatrics) organization located in VANCOUVER, Washington. NPI 1144343773 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · VANCOUVER, WA
Registration Details
- NPI Number
- 1144343773
- Provider Type
- Organization
- NPI Issued
- Apr 9, 2007 (19.388928138492 yrs)
- Last Updated
- Feb 21, 2020
- License
-
601 115 723 (WA)
Practice Information
- Address
-
505 NE 87TH AVESTE 120VANCOUVER, WA, 986641989Browse WA providers · Browse ZIP 98664
- Phone
- 3608921635
- Fax
- 3608923146
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.