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Organization
PUGET SOUND GASTROENTEROLOGY, PLLC
Active
Organization
PUGET SOUND GASTROENTEROLOGY, PLLC
Active
Other names
Evergreen Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN OLIVER CEO (CEO)
(786) 530-3820
Entity
Organization
Contact information
Practice address
11800 NE 128TH ST, SUITE 100, KIRKLAND, WA 98034-7208
(425) 899-4500
(425) 899-4510
Mailing address
PO BOX 34888, SEATTLE, WA 98124-1888
(425) 977-4620
(425) 745-9836
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155305
LABOR AND INDUSTRIES
WA
05
—
1044235
—
WA
Enumeration date
04/05/2006
Last updated
05/16/2025
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