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AWH EVERGREEN PC
NPI 1205726353
Family Medicine in Bonney Lake, WA

Active since July 08, 2025
18209 STATE ROUTE 410 E STE 303, BONNEY LAKE, WA 98391(725) 204-6055 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Awh Evergreen Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AWH EVERGREEN PC (NPI 1205726353) is a healthcare organization registered as a family medicine in Bonney Lake, Washington and active in the NPI registry since July 2025. The organization lists Amanda Wilkinson, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1205726353
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAWH EVERGREEN PC
Location Address18209 STATE ROUTE 410 E STE 303Bonney Lake, WA 98391-5146
Mailing Address10501 W Gowan Rd Ste 200Las Vegas, NV 89129-6602 · (725) 204-6055
Phone(725) 204-6055
Organization SubpartNo
Authorized OfficialAmanda WilkinsonDirector Of Operations · (725) 204-6055
Enumeration DateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
✔ NPI 1205726353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
18209 STATE ROUTE 410 E STE 303, Bonney Lake, WA 98391
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Other Names 1

Other NameAgeless Women's Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Awh Evergreen PC's NPI number?

The NPI number for Awh Evergreen PC is 1205726353. It was assigned to this organization in the NPPES registry on July 8, 2025. The provider is also known as Ageless Women's Health.

Where is Awh Evergreen PC located?

Awh Evergreen PC is located at 18209 State Route 410 E Ste 303, Bonney Lake, WA 98391. The listed phone number is (725) 204-6055.

What is Awh Evergreen PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Awh Evergreen PC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.