# IVETA EVERINGHAM RNFA SURGICAL ASSISTING SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SURGICAL ASSISTING SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093030843
- **Authorized official:** MS. IVETA EVERINGHAM RNFA (OWNER)
- **Authorized official phone:** (206) 427-2898

## Contact information

- **Practice address:** 1945 16TH LANE NE, ISSAQUAH, WA 98029
- **Practice address phone:** (206) 427-2898
- **Practice address fax:** (541) 749-2283
- **Mailing address:** P.O. BOX 2847, ISSAQUAH, WA 98027-0130
- **Mailing address phone:** (206) 427-2898
- **Mailing address fax:** (541) 749-2283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | RN00144475 | WA | Yes |
| 251J00000X | Nursing Care Agency | 200740612RN | OR | — |

## Other

- **Enumeration date:** 04/05/2010
- **Last updated:** 01/27/2021