Organization
EVERGREEN AIDS FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH L. WESTERGREEN (SUPPORT SERVICES ADMINISTRATOR)
(360) 671-0703
Entity
Organization
Contact information
Practice address
1509 CORNWALL AVE, BELLINGHAM, WA 98225-4521
(360) 671-0703
(360) 671-9882
Mailing address
1509 CORNWALL AVE, BELLINGHAM, WA 98225-4521
(360) 671-0703
(360) 671-9882
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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