Organization
EVERGREEN FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE M WARNER ARNP (OWNER)
(360) 438-3029
Entity
Organization
Contact information
Practice address
205 LILLY RD NE STE A1, OLYMPIA, WA 98506-5069
(360) 438-3029
(360) 438-8585
Mailing address
PO BOX 5807, LACEY, WA 98509-5807
(360) 438-3029
(360) 438-8585
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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