# EVERGREEN HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508258765
- **Authorized official:** MR. DON BRIGGS RPH (PHARMACY DIRECTOR)
- **Authorized official phone:** (425) 899-2783

## Contact information

- **Practice address:** 12040 NE 128TH ST, KIRKLAND, WA 98034-3013
- **Practice address phone:** (425) 899-2783
- **Practice address fax:** (425) 899-2784
- **Mailing address:** 12040 NE 128TH ST, TAN 415, KIRKLAND, WA 98034-3098
- **Mailing address phone:** (425) 899-2783
- **Mailing address fax:** (425) 899-2784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 00020647 | WA | Yes |

## Other

- **Enumeration date:** 02/25/2015
- **Last updated:** 02/25/2015