Organization
KING COUNTY PUBLIC HOSPITAL DISTRICT #2
Active
Other names
Evergreen Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISSY YAMADA (CHIEF FINANCIAL OFFICER)
(425) 899-2600
Entity
Organization
Contact information
Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1000
Mailing address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9056714
—
WA
Enumeration date
04/30/2007
Last updated
08/22/2020
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