Organization
KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2
Active
Parent organization
KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2
Other names
EvergreenHealth Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2
Authorized official
TINA CHRISTINE MYCROFT (SR. VP-CHIEF FINANCIAL OFFICER)
(425) 899-2606
Entity
Organization
Contact information
Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362
(425) 899-5590
(425) 899-4859
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3266
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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