# PUBLIC HOSPITAL DISTRICT NO 2

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PUBLIC HOSPITAL DISTRICT NO 2
- **Other names:** Evergreen Medical Group Duvall
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568563732
- **Legal business name:** PUBLIC HOSPITAL DISTRICT NO 2
- **Authorized official:** ROBERT MALTE (CEO)
- **Authorized official phone:** (425) 899-2610

## Contact information

- **Practice address:** 14720 MAIN ST NE, STE 109, DUVALL, WA 98019-8460
- **Practice address phone:** (425) 788-4889
- **Practice address fax:** (425) 844-6116
- **Mailing address:** PO BOX 34036, SEATTLE, WA 98124-1036
- **Mailing address phone:** (425) 899-3292
- **Mailing address fax:** (425) 899-3269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 01/04/2011