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Organization

EVERGREEN TREATMENT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARGARET CARNEY (EXECUTIVE DIRECTOR)
(206) 223-3644
Entity
Organization

Contact information

Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
Mailing address
1700 AIRPORT WAY S., SEATTLE, WA 98134

Taxonomy

Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
AP30001187
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9610916
WA
Enumeration date
08/18/2008
Last updated
04/11/2017
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