Organization
EVERGREEN WOMEN'S HEALTH CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA J LAHANIER (CLINIC ADMINISTRATOR)
(425) 285-0095
Entity
Organization
Contact information
Practice address
12333 NE 130TH LN, 110, KIRKLAND, WA 98034-7467
(425) 285-0060
Mailing address
12333 NE 130TH LN, 110, KIRKLAND, WA 98034-7467
(425) 285-0060
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200066
—
WA
Enumeration date
12/14/2006
Last updated
11/13/2012
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