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Organization

EVERGREEN EYE CENTER, PLLC

Active
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Organization

EVERGREEN EYE CENTER, PLLC

Active
Other names
EYE ASSOCIATES NORTHWEST, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN J WHITEHEAD MD (AUTHORIZED OFFICIAL)
(206) 215-2004
Entity
Organization

Contact information

Practice address
1101 MADISON ST STE 600, SEATTLE, WA 98104-1340
(206) 215-2020
(206) 215-2022
Mailing address
33600 6TH AVE S, FEDERAL WAY, WA 98003-6743
(206) 260-2503
(855) 929-1515

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
04/17/2024
Last updated
04/17/2024
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