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

Active since September 26, 2006CLIA Certified · 2 labs
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: July 26, 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 holds 2 active CLIA laboratory certificates and 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
Phone(425) 485-6561
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
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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

CLIA Laboratory Certificates CMS CLIA 2

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 of Waiver 50D2137993

Evergreen Health Urgent Care, Kenmore · Kenmore, WA
Active · expires Apr 4, 2028
CLIA Number50D2137993
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2017
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBradley Younggren
Laboratory Phone(425) 485-6561
Laboratory LocationEvergreen Health Urgent Care, Kenmore18151 68th Ave NE Ste 100, Kenmore, WA 98028
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2257158

Evergreenhealth Primary Care, Kenmore · Kenmore, WA
Active · expires Apr 4, 2028
CLIA Number50D2257158
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPratima Sharma
Laboratory Phone(425) 485-6561
Laboratory LocationEvergreenhealth Primary Care, Kenmore18151 68th Ave NE Ste 100, Kenmore, WA 98028
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. MILTON LEO CURTIS MD
Family Medicine
18208 66TH AVE NE, SUITE 200
KENMORE, WA 98028
King County (425) 485-6561
DR. CHRISTOPHER J TELGE DO
Family Medicine
18208 66TH AVE NE, SUITE 200
KENMORE, WA 98028
King County (425) 485-6561
DR. TIMOTHY SCOTT ANDERSON DO
Family Medicine
18208 66TH AVE NE, SUITE 200
KENMORE, WA 98028
King County (425) 485-6561
JODIE MURDOCH ND
Naturopath
18208 66TH AVE NE
KENMORE, WA 98028
King County (425) 814-2045

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.

Does Public Hospital District No 2 hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 with the weekly NPPES data releases published by CMS.