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CENTER FOR WOMENS HEALTH AT EVERGREEN
NPI 1619070497
Obstetrics & Gynecology in Kirkland, WA

Active since September 06, 2006CLIA 50D0941548 · Microscopy
12303 NE 130TH LN, SUITE 500, KIRKLAND, WA 98034(425) 899-4455(425) 899-4434 Get Directions Write a Review

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

About Center For Womens Health At Evergreen NPPES

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

CENTER FOR WOMENS HEALTH AT EVERGREEN (NPI 1619070497) is a healthcare organization registered as an obstetrics & gynecology in Kirkland, Washington and active in the NPI registry since September 2006. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Deborah Susan Porter Peterson, Administrative Director, as its authorized official.

NPPES Registry Identity

NPI1619070497
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCENTER FOR WOMENS HEALTH AT EVERGREEN
Location Address12303 NE 130TH LN, SUITE 500Kirkland, WA 98034-3099
Mailing Address12303 Ne 130th Ln, Suite 500Kirkland, WA 98034-3099 · (425) 899-4455 · Fax (425) 899-4434
Phone(425) 899-4455
Fax(425) 899-4434
Organization SubpartNo
Authorized OfficialDeborah Susan Porter PetersonAdministrative Director · (425) 899-4455
Enumeration DateSeptember 6, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1619070497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
12303 NE 130TH LN, Kirkland, WA 98034
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0941548

Center For Womens Health At Evergreen Ps · Kirkland, WA
Active · expires Apr 4, 2028
CLIA Number50D0941548
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 1998
Certificate Expiration DateApril 4, 2028
Laboratory DirectorGuoli Johnston
Laboratory Phone(425) 899-4455
Laboratory LocationCenter For Womens Health At Evergreen Ps12910 Totem Lake Blvd NE Ste 102, Kirkland, WA 98034
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MS. XUEMEI SU ARNP
Nurse Practitioner (Family)
12303 NE 130TH LN, STE400
KIRKLAND, WA 98034
King County (425) 899-4692
ROLIN ALAN PRUYN PA-C
Physician Assistant (Medical)
12303 NE 130TH LN, SUITE 550
KIRKLAND, WA 98034
King County (425) 899-6972
WAYNE L HILL MD
Specialist
12303 NE 130TH LN, SUITE 400
KIRKLAND, WA 98034
King County (425) 899-4000
DR. JOHN PAUL ISBELL M.D
Obstetrics & Gynecology
12303 NE 130TH LN, STE 400
KIRKLAND, WA 98034
King County (425) 899-4692
MS. CAROL ANN VERGA CNM, ARNP
Nurse Practitioner (Obstetrics & Gynecology)
12303 NE 130TH LN, SUITE 500
KIRKLAND, WA 98034
King County (425) 899-4455
LYNN DAVIDSON R.N.
Counselor
12303 NE 130TH LN, STE 420
KIRKLAND, WA 98034
King County (425) 899-6400
CHARLES H HEFFRON JR. M.D.
Obstetrics & Gynecology (Gynecology)
12303 NE 130TH LN, SUITE 420
KIRKLAND, WA 98034
King County (425) 899-6400
DR. SCOTT JACOB OSTRIKER PHARM.D.
Pharmacist (Pharmacotherapy)
12303 NE 130TH LN, SUITE120
KIRKLAND, WA 98034
King County (425) 899-3191

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 Center For Womens Health At Evergreen's NPI number?

The NPI number for Center For Womens Health At Evergreen is 1619070497. It was assigned to this organization in the NPPES registry on September 6, 2006.

Where is Center For Womens Health At Evergreen located?

Center For Womens Health At Evergreen is located at 12303 NE 130th Ln Suite 500, Kirkland, WA 98034. The listed phone number is (425) 899-4455.

What is Center For Womens Health At Evergreen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Center For Womens Health At Evergreen hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0941548) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Center For Womens Health At Evergreen 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.