Organization
EVERGREEN ULTRASOUND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT STEVENS RDMS, RVT, RT(R) (OWNER)
(509) 747-7427
Entity
Organization
Contact information
Practice address
3026 S GRAND BLVD, SPOKANE, WA 99203-2560
(509) 747-7427
(888) 343-6937
Mailing address
PO BOX 8162, SPOKANE, WA 99203-0162
(509) 747-7427
(888) 343-6937
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
40882
WA
Other
Enumeration date
05/12/2006
Last updated
08/22/2020
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