Organization
EVERGREEN FAMILY CLINIC PLLC
Active
Other names
EVERGREEN FAMILY CLINIC PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
KEN WAMWIRI FNP-C (PRESIDENT)
(214) 870-0885
Entity
Organization
Contact information
Practice address
32275 32ND AVE S, FEDERAL WAY, WA 98001-9616
(206) 420-5325
Mailing address
32275 32ND AVE S, FEDERAL WAY, WA 98001-9616
(206) 420-5325
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
12/26/2025
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