Individual
MARK EVERHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9714 3RD AVE NE STE 140, SEATTLE, WA 98115-2047
(831) 345-1654
Mailing address
9714 3RD AVE NE STE 140, SEATTLE, WA 98115-2047
(831) 345-1654
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT.0003632
CO
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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