EVERGREENHEALTHCARE
NPI 1588054332
Clinic/Center - Multi-Specialty in Kirkland, WA

Active since February 02, 2015
12333 NE 130TH LN, TAN 415, KIRKLAND, WA 98034(425) 899-2783(425) 899-2784 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreenhealthcare NPPES

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

EVERGREENHEALTHCARE (NPI 1588054332) is a healthcare organization registered as a multi-specialty in Kirkland, Washington and active in the NPI registry since February 2015. The organization lists Marie A Cermak, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1588054332
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameEVERGREENHEALTHCARE
Location Address12333 NE 130TH LN, TAN 415Kirkland, WA 98034-7467
Mailing Address12333 Ne 130th Ln, Tan 415Kirkland, WA 98034-7467 · (425) 899-2783 · Fax (425) 899-2784
Fax(425) 899-2784
Organization SubpartNo
Authorized OfficialMarie A CermakPharmacist · (425) 899-2783
Enumeration DateFebruary 2, 2015
NPI 1588054332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License Licensed in WA · PH0009804
12333 NE 130TH LN, Kirkland, WA 98034

Other Identifiers 1

OtherPH00009804WA · Pharmacy License

Other Providers at the Same Location NPPES 20

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

Genetic Counselor, MS
12333 NE 130TH LN, TAN 240
KIRKLAND, WA 98034
Surgery
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Physician Assistant (Surgical)
12333 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
Clinic/Center (Ambulatory Surgical)
12333 NE 130TH LN, #420
KIRKLAND, WA 98034
Audiologist
12333 NE 130TH LN
KIRKLAND, WA 98034
Nurse Practitioner
12333 NE 130TH LN, #302
KIRKLAND, WA 98034
Dermatology
12333 NE 130TH LN, SUITE 330
KIRKLAND, WA 98034
Internal Medicine (Pulmonary Disease)
12333 NE 130TH LN, SUITE 225
KIRKLAND, WA 98034

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 Evergreenhealthcare's NPI number?

The NPI number for Evergreenhealthcare is 1588054332. It was assigned to this organization in the NPPES registry on February 2, 2015.

Where is Evergreenhealthcare located?

Evergreenhealthcare is located at 12333 NE 130th Ln Tan 415, Kirkland, WA 98034. The listed phone number is (425) 899-2783.

What is Evergreenhealthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Evergreenhealthcare was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.