Organization
EVERGREEN CIRCUITS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY BEAVERS (MANAGING MEMBERR)
(425) 382-8412
Entity
Organization
Contact information
Practice address
14023 284TH CIR NE, DUVALL, WA 98019-8176
(425) 382-8412
Mailing address
PO BOX 1304, DUVALL, WA 98019-1304
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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