# EVERGREEN PRIMARY CARE COLLABORATIVE P LLC

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

## Provider details

- **NPI number:** 1932063211
- **Authorized official:** ALISON HUFFSTETLER (OWNER)
- **Authorized official phone:** (771) 244-1262

## Contact information

- **Practice address:** 1377 R ST NW STE 200, WASHINGTON, DC 20009-6293
- **Practice address phone:** (202) 745-7000
- **Mailing address:** 1377 R ST NW STE 200, WASHINGTON, DC 20009-6293
- **Mailing address phone:** (771) 244-1262
- **Mailing address fax:** (877) 682-3318

## Taxonomy

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

## Other

- **Enumeration date:** 12/11/2025
- **Last updated:** 10/02/2026