EVERGREEN NEUROLOGY & NEURODIAGNOSTIC PLLC
NPI 1851572564
Neuromusculoskeletal Medicine & OMM in Everett, WA

Q: What is Evergreen Neurology & Neurodiagnostic PLLC's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Active since November 21, 2007

2326 RUCKER AVE, EVERETT, WA 98201(425) 259-5121(425) 252-2189 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Evergreen Neurology & Neurodiagnostic Pllc NPPES

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

EVERGREEN NEUROLOGY & NEURODIAGNOSTIC PLLC (NPI 1851572564) is a healthcare organization registered as a neuromusculoskeletal medicine & omm in Everett, Washington and active in the NPI registry since November 2007. The organization lists Charis J Yates, Billing, as its authorized official.

NPPES Registry Identity

NPI1851572564

Entity TypeOrganization

Primary Taxonomy204D00000X

Legal Business NameEVERGREEN NEUROLOGY & NEURODIAGNOSTIC PLLC

Location Address2326 RUCKER AVEEverett, WA 98201-2723

Mailing Address2320 Rucker AveEverett, WA 98201-2723 · (425) 259-5121 · Fax (425) 252-2189

Phone(425) 259-5121

Fax(425) 252-2189

Organization SubpartYesParent: Roman L Kutsy

Authorized OfficialCharis J YatesBilling · (425) 259-5121

Enumeration DateNovember 21, 2007

✔ NPI 1851572564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in WA · MD00032822

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

2326 RUCKER AVE, Everett, WA 98201

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Other Identifiers 3

Medicare UPING10879

Medicaid1118462WA

Medicare PINGAB39028

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 2

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

ROMAN L KUTSY MD

Psychiatry & Neurology (Neurology)

2326 RUCKER AVE
EVERETT, WA 98201

Snohomish County (425) 259-5121

TOBAE G MCDUFF MD

Psychiatry & Neurology (Neurology)

2326 RUCKER AVE
EVERETT, WA 98201

Snohomish County (425) 259-5121

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 Evergreen Neurology & Neurodiagnostic PLLC's NPI number?

The NPI number for Evergreen Neurology & Neurodiagnostic PLLC is 1851572564. It was assigned to this organization in the NPPES registry on November 21, 2007.

Where is Evergreen Neurology & Neurodiagnostic PLLC located?

Evergreen Neurology & Neurodiagnostic PLLC is located at 2326 Rucker Ave, Everett, WA 98201. The listed phone number is (425) 259-5121.

What is Evergreen Neurology & Neurodiagnostic PLLC's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Neurology & Neurodiagnostic PLLC was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.