Organization
EVERGREEN PSYCHIATRY, LLC
Active
Organization
EVERGREEN PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER KOSTIAL MD (OWNER/OPERATOR)
(801) 635-9580
Entity
Organization
Contact information
Practice address
801 SAMISH WAY, BELLINGHAM, WA 98229-2901
(360) 255-2505
Mailing address
801 SAMISH WAY, BELLINGHAM, WA 98229-2901
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60564652
WA
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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