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Organization
EVERGREEN TREATMENT SERVICES UNIT 4
Active
Organization
EVERGREEN TREATMENT SERVICES UNIT 4
Active
Parent organization
EVERGREEN TREATMENT SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN TREATMENT SERVICES
Authorized official
DONAVAN LAM (CFO)
(206) 690-1767
Entity
Organization
Contact information
Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
(202) 223-1482
Mailing address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
(202) 223-1482
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
17 0163 00
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1995414
—
WA
05
—
8008203
—
WA
Enumeration date
01/25/2007
Last updated
07/09/2026
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