Organization
EVERGREEN EYE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA CAMPOS (CREDENTIALING MANAGER)
(206) 215-2004
Entity
Organization
Contact information
Practice address
502 S M ST, TACOMA, WA 98405-3728
(800) 340-3595
Mailing address
502 S M ST, TACOMA, WA 98405-3728
(206) 260-2503
(855) 929-1515
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
01/12/2024
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