Organization
AWH EVERGREEN PC
Active
Other names
Ageless Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WILKINSON (DIRECTOR OF OPERATIONS)
(725) 204-6055
Entity
Organization
Contact information
Practice address
18209 STATE ROUTE 410 E STE 303, BONNEY LAKE, WA 98391-5146
(725) 204-6055
Mailing address
10501 W GOWAN RD STE 200, LAS VEGAS, NV 89129-6602
(725) 204-6055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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