Organization
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Active
Parent organization
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Other names
Evergreen Healthcare OB Hospitalists
Organization subpart
Yes
Provider details
NPI number
Legal business name
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Authorized official
TINA CHRISTINE MYCROFT (CFO)
(425) 899-2606
Entity
Organization
Contact information
Practice address
12040 NE 128TH ST, MS 105, KIRKLAND, WA 98034-3013
(425) 899-2560
(425) 899-2079
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7127426
—
WA
01
—
CG2833
MEDICARE RAILROAD
WA
01
—
CG8137
MEDICARE RAILROAD
WA
01
—
CJ9678
MEDICARE RAILROAD
WA
01
—
CQ2437
MEDICARE RAILROAD
WA
Enumeration date
10/10/2006
Last updated
07/07/2022
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