Organization
GH EVERGREEN ENDOSCOPY CENTER SUB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
11800 NE 128TH ST STE 100, KIRKLAND, WA 98034-7208
(469) 872-4706
Mailing address
11800 NE 128TH ST STE 100, KIRKLAND, WA 98034-7208
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
02/27/2026
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