Organization
EVERGREEN EYE ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE ISOM (BILLING MANAGER)
(425) 407-1000
Entity
Organization
Contact information
Practice address
34719 6TH AVE S, FEDERAL WAY, WA 98003-8714
(800) 340-3595
Mailing address
6003 23RD DR W STE 100, EVERETT, WA 98203-1583
(425) 407-1500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
12/15/2022
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