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EVERGREEN NEPHROLOGY ASSOCIATES PLLC
NPI 1942254362
Specialist in Tacoma, WA

Active since May 20, 2006
1708 YAKIMA AVE, SUITE 107, TACOMA, WA 98405(253) 272-5881(253) 383-0161 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Nephrology Associates Pllc NPPES

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

EVERGREEN NEPHROLOGY ASSOCIATES PLLC (NPI 1942254362) is a healthcare organization registered as a specialist in Tacoma, Washington and active in the NPI registry since May 2006. The organization lists Thomas Jacob Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1942254362
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEVERGREEN NEPHROLOGY ASSOCIATES PLLC
Location Address1708 YAKIMA AVE, SUITE 107Tacoma, WA 98405-5307
Mailing Address1708 Yakima Ave, Suite 107Tacoma, WA 98405-5307 · (253) 272-5881 · Fax (253) 383-0161
Phone(253) 272-5881
Fax(253) 383-0161
Organization SubpartNo
Authorized OfficialThomas Jacob MartinOwner · (253) 272-5881
Enumeration DateMay 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942254362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MD00028956
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1708 YAKIMA AVE, Tacoma, WA 98405
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Other Identifiers 1

Medicaid7089881WA

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 20

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

VALERIE XIAOYING DU MD
Surgery
1708 YAKIMA AVE
TACOMA, WA 98405
Pierce County (253) 382-8008
CHRISTINE IBRAHIM PHARMD
Pharmacist (Oncology)
1708 YAKIMA AVE, SUITE 203
TACOMA, WA 98405
Pierce County (253) 426-6051
QUAN Q LUU PHARM D
Pharmacist
1708 YAKIMA AVE
TACOMA, WA 98405
Pierce County (253) 426-4205
JIM T HENRICKSEN PT
Physical Therapist
1708 YAKIMA AVE
TACOMA, WA 98405
Pierce County (253) 274-4712
WILLIAM W BRAND MD
Internal Medicine
1708 YAKIMA AVE, STE 110
TACOMA, WA 98405
Pierce County (253) 627-9151
SHARON L WILLIAMS OD
Optometrist
1708 YAKIMA AVE, STE 100
TACOMA, WA 98405
Pierce County (253) 502-5965
KAYLA GRZYBOWSKI PHARMD
Pharmacist (Oncology)
1708 YAKIMA AVE, SUITE 203
TACOMA, WA 98405
Pierce County (253) 382-8150
ROBERT J THORPE MD
Family Medicine
1708 YAKIMA AVE, STE 100
TACOMA, WA 98405
Pierce County (253) 627-9151

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 Nephrology Associates PLLC's NPI number?

The NPI number for Evergreen Nephrology Associates PLLC is 1942254362. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Evergreen Nephrology Associates PLLC located?

Evergreen Nephrology Associates PLLC is located at 1708 Yakima Ave Suite 107, Tacoma, WA 98405. The listed phone number is (253) 272-5881.

What is Evergreen Nephrology Associates PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Evergreen Nephrology Associates PLLC 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 5 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.