Organization
EVERGREEN BEHAVIORAL HEALTH PC
Active
Organization
EVERGREEN BEHAVIORAL HEALTH PC
Active
Other names
Evergreen Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JILL B FANCHER PH.D. (CLINIC DIRECTOR/OWNER)
(360) 450-0140
Entity
Organization
Contact information
Practice address
2621 NE 134TH ST STE 340, VANCOUVER, WA 98686-3036
(360) 450-0140
(877) 343-0535
Mailing address
2621 NE 134TH ST STE 340, VANCOUVER, WA 98686-3036
(360) 450-0140
(877) 343-0535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
10/18/2010
Last updated
10/21/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up