Organization
EVERGREEN TREATMENT SERVICES
Active
Parent organization
EVERGREEN TREATMENT SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVERGREEN TREATMENT SERVICES
Authorized official
MARGARET CARNEY (EXECUTIVE DIRECTOR)
(206) 223-3644
Entity
Organization
Contact information
Practice address
1412 SW 43RD ST, SUITE 140, RENTON, WA 98057-4803
(425) 264-0750
(425) 264-0799
Mailing address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
(206) 223-1482
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
17 0163 00
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8008203
—
WA
Enumeration date
09/20/2016
Last updated
04/11/2017
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