DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVERGREEN ORAL SURGERY

Active Organization

EVERGREEN ORAL SURGERY is a Oral & Maxillofacial Surgery (Physician) organization located in TACOMA, Washington. NPI 1811586761 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · TACOMA, WA

Registration Details

NPI Number
1811586761
Provider Type
Organization
NPI Issued
Jan 14, 2021 (5.6248699790014 yrs)
Last Updated
Jan 14, 2021

Practice Information

Address
6050 TACOMA MALL BLVD STE 330
TACOMA, WA, 984096811
Browse WA providers · Browse ZIP 98409
Phone
2534730651
Fax
2534440761
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
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.