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PEDIATRICS PM
NPI 1568527539
Pediatrics - Adolescent Medicine in Puyallup, WA

Active since December 27, 2006
1910 S MERIDIAN, SUITE A, PUYALLUP, WA 98371(253) 848-2303(253) 848-8956 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pediatrics Pm NPPES

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

PEDIATRICS PM (NPI 1568527539) is a healthcare organization registered as an adolescent medicine in Puyallup, Washington and active in the NPI registry since December 2006. The organization lists Susanne I Roach, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1568527539
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameEVERGREEN CHILDREN'S CLINIC, PLLC
Location Address1910 S MERIDIAN, SUITE APuyallup, WA 98371-7531
Mailing Address1910 S Meridian, Suite APuyallup, WA 98371-7531 · (253) 848-2303 · Fax (253) 848-8956
Phone(253) 848-2303
Fax(253) 848-8956
Organization SubpartNo
Authorized OfficialSusanne I RoachOffice Manager · (253) 848-2303
Enumeration DateDecember 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1568527539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1910 S MERIDIAN, Puyallup, WA 98371
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Other Names 1

Other NamePediatrics Pm

Other Identifiers 1

Medicaid7054364WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM S POLLARD III M.D.
Specialist
1910 S MERIDIAN
PUYALLUP, WA 98371
Pierce County (253) 848-2303
MAE SATSUKI YAMASAKI ARNP
Nurse Practitioner (Pediatrics)
1910 S MERIDIAN
PUYALLUP, WA 98371
Pierce County (253) 848-2303
SUSAN E ASHTON ARNP
Nurse Practitioner (Pediatrics)
1910 S MERIDIAN
PUYALLUP, WA 98371
Pierce County (253) 848-2303
DON R RUSSELL D.O.
Pediatrics
1910 S MERIDIAN, SUITE A
PUYALLUP, WA 98371
Pierce County (253) 848-2303
DENISE ANNE LADENBURG ARNP
Nurse Practitioner (Pediatrics)
1910 S MERIDIAN
PUYALLUP, WA 98371
Pierce County (253) 848-2303

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 Evergreen Children's Clinic, PLLC's NPI number?

The NPI number for Evergreen Children's Clinic, PLLC is 1568527539. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is also known as Pediatrics Pm.

Where is Evergreen Children's Clinic, PLLC located?

Evergreen Children's Clinic, PLLC is located at 1910 S Meridian Suite A, Puyallup, WA 98371. The listed phone number is (253) 848-2303.

What is Evergreen Children's Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Evergreen Children's Clinic, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.