Organization
EVERGREEN MEDICAL CENTER ANESTHESIOLOGY SERVICES PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY J TOMLIN MD (PRESIDENT)
(503) 372-2740
Entity
Organization
Contact information
Practice address
12707 120TH AVENUE NE, #205, KIRKLAND, WA 98034
(425) 899-5566
Mailing address
DEPT. 390, BOX 34935, SEATTLE, WA 98124
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7049224
—
WA
Enumeration date
05/09/2006
Last updated
08/22/2020
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