EVERGREENHEALTH NPI 1164876322

NPI Information

  • NPI: 1164876322
  • Provider Name: EVERGREENHEALTH
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 11521 NE 128TH ST
    SUITE 100
    KIRKLAND, WA
    ZIP 98034
  • Phone: (425) 899-6797

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NPI Details

EVERGREENHEALTH is a primary care clinic center in Kirkland, WA. EVERGREENHEALTH NPI is 1164876322. The provider is registered as an organization entity type.

The provider's business location address is:

11521 NE 128TH ST
SUITE 100
KIRKLAND, WA
ZIP 98034-317
Phone: (425) 899-6797
Fax: (425) 899-6808

The provider's authorized official is Connie Smith .
The authorized official title is Medical Director and has the following contact phone number (425) 899-6800.

The enumeration date for this NPI number is 4/14/2016 and was last updated on 4/14/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CarePH60004517WASHINGTONYes

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: 3/30/2025

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