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Organization
EVERGREEN EYE CENTER, PLLC
Active
Organization
EVERGREEN EYE CENTER, PLLC
Active
Other names
Evergreen Eye Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA ANGELICA CAMPOS (CREDENTIALING MANAGER)
(206) 215-2004
Entity
Organization
Contact information
Practice address
1229 MADISON ST STE 1250, SEATTLE, WA 98104-3568
(206) 212-2100
(206) 212-2194
Mailing address
1229 MADISON ST STE 1250, SEATTLE, WA 98104-3568
(206) 212-2100
(206) 212-2194
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/28/2018
Last updated
01/12/2024
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