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Organization

EVERGREEN RECOVERY CENTERS-HEALTH SERVICES

Active
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Organization

EVERGREEN RECOVERY CENTERS-HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY L KAIN (CQO)
(425) 343-4599
Entity
Organization

Contact information

Practice address
20508 56TH AVE W, LYNWOOD, WA 98036
(425) 535-4243
(425) 835-0960
Mailing address
PO BOX 12598, EVERETT, WA 98206
(425) 493-5310
(425) 263-9706

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
10/25/2021
Last updated
09/09/2025
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