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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