# EVERGREEN WOMEN'S CARE, PLLC

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

## Provider details

- **NPI number:** 1639226574
- **Authorized official:** MS. SUSAN J TEMPLETON (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (425) 250-1255

## Contact information

- **Practice address:** 12303 NE 130TH LN, SUITE \#420, KIRKLAND, WA 98034-3099
- **Practice address phone:** (425) 899-6400
- **Practice address fax:** (425) 899-4490
- **Mailing address:** 12303 NE 130TH LN, SUITE \#420, KIRKLAND, WA 98034-3099
- **Mailing address phone:** (425) 899-6400
- **Mailing address fax:** (425) 899-4490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VX0000X | Obstetrics Physician | — | NULL | Yes |
| 207VX0000X | Obstetrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7126774 | — | WA |