EVERGREEN MEDICAL GROUP KENMORE
NPI 1629179890
Family Medicine in Kenmore, WA

Active since September 26, 2006
18208 66TH AVE NE, STE 200, KENMORE, WA 98028(425) 485-6561(425) 488-4939 Get Directions Write a Review

NPPES record last updated: January 4, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Medical Group Kenmore NPPES

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

EVERGREEN MEDICAL GROUP KENMORE (NPI 1629179890) is a healthcare organization registered as a family medicine in Kenmore, Washington and active in the NPI registry since September 2006. The organization lists Robert Malte, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629179890
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePUBLIC HOSPITAL DISTRICT NO 2
Location Address18208 66TH AVE NE, STE 200Kenmore, WA 98028-7949
Mailing AddressPo Box 34036Seattle, WA 98124-1036 · (425) 899-3292 · Fax (425) 899-3269
Fax(425) 488-4939
Organization SubpartYes
Authorized OfficialRobert MalteCeo · (425) 899-2610
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJanuary 4, 2011
NPI 1629179890 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.
18208 66TH AVE NE, Kenmore, WA 98028

Other Names 1

Doing Business AsEvergreen Medical Group Kenmore

Other Identifiers 6

OtherCG2833WA · Medicare Railroad
OtherCJ9678WA · Medicare Railroad
Medicaid7073323WA
Medicare PING217120400WA
OtherCQ2437WA · Medicare Railroad
OtherCG8137WA · Medicare Railroad

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 4

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

Naturopath
18208 66TH AVE NE
KENMORE, WA 98028
Family Medicine
18208 66TH AVE NE, SUITE 200
KENMORE, WA 98028
Family Medicine
18208 66TH AVE NE, SUITE 200
KENMORE, WA 98028
Family Medicine
18208 66TH AVE NE, SUITE 200
KENMORE, WA 98028

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 Public Hospital District No 2's NPI number?

The NPI number for Public Hospital District No 2 is 1629179890. It was assigned to this organization in the NPPES registry on September 26, 2006. The provider is doing business as Evergreen Medical Group Kenmore.

Where is Public Hospital District No 2 located?

Public Hospital District No 2 is located at 18208 66th Ave NE Ste 200, Kenmore, WA 98028. The listed phone number is (425) 485-6561.

What is Public Hospital District No 2'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 Public Hospital District No 2 was last updated on January 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.