Organization
EVERGREEN WOMEN'S CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN J TEMPLETON (CLINIC ADMINISTRATOR)
(425) 250-1255
Entity
Organization
Contact information
Practice address
12303 NE 130TH LN, SUITE #420, KIRKLAND, WA 98034-3099
(425) 899-6400
(425) 899-4490
Mailing address
12303 NE 130TH LN, SUITE #420, KIRKLAND, WA 98034-3099
(425) 899-6400
(425) 899-4490
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7126774
—
WA
Enumeration date
01/04/2007
Last updated
08/22/2020
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