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Organization

EVERGREEN CENTER FOR INTEGRATIVE MEDICINE PLLC

Active
Other names
Bobbi Lutack,ND
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA BAKER (PRACTICE MANAGER)
(206) 729-0907
Entity
Organization

Contact information

Practice address
2008 NE 65TH ST, SEATTLE, WA 98115-6934
(206) 729-0907
(206) 729-0199
Mailing address
2008 NE 65TH ST, SEATTLE, WA 98115-6934
(206) 729-0907
(206) 729-0199

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1881741288
INDIVIDUAL NPI
Enumeration date
12/06/2021
Last updated
12/06/2021
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