HRT EVERGREEN PC
NPI 1730986035
Family Medicine in Spokane Valley, WA

Active since February 25, 2025
11917 E BROADWAY AVE STE 102, SPOKANE VALLEY, WA 99206(602) 796-2559 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 8, 2025, Feb 25, 2025 (2 updates tracked since 2025).

About Hrt Evergreen Pc NPPES

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

HRT EVERGREEN PC (NPI 1730986035), doing business as Ageless Men's Health, is a healthcare organization registered as a family medicine in Spokane Valley, Washington and active in the NPI registry since February 2025. The organization maintains a secondary practice location in Bonney Lake and lists Amanda Wilkinson, Business Operations Director, as its authorized official.

NPPES Registry Identity

NPI1730986035
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHRT EVERGREEN PC
Location Address11917 E BROADWAY AVE STE 102Spokane Valley, WA 99206-6011
Mailing Address10501 W Gowan Rd Ste 200Las Vegas, NV 89129-6602
Organization SubpartNo
Authorized OfficialAmanda WilkinsonBusiness Operations Director · (602) 796-2559
Enumeration DateFebruary 25, 2025
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
NPI 1730986035 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.
11917 E BROADWAY AVE STE 102, Spokane Valley, WA 99206

Other Names 1

Doing Business AsAgeless Men's Health

Secondary Practice Location 1

Location 118209 State Route 410 E Ste 303Bonney Lake, WA 98391-5146 · Phone (602) 796-2559

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Physician Assistant
11917 E BROADWAY AVE STE 102
SPOKANE VALLEY, WA 99206

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 Hrt Evergreen PC's NPI number?

The NPI number for Hrt Evergreen PC is 1730986035. It was assigned to this organization in the NPPES registry on February 25, 2025. The provider is doing business as Ageless Men's Health.

Where is Hrt Evergreen PC located?

Hrt Evergreen PC is located at 11917 E Broadway Ave Ste 102, Spokane Valley, WA 99206. The listed phone number is (602) 796-2559.

What is Hrt Evergreen PC'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 Hrt Evergreen PC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.