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EVERGREEN SURGERY CENTER, LLC

Surgery Yellow Pages

Kirkland, Washington

Provider NPI: 1689655334

Organization Information:
Organization Name:  EVERGREEN SURGERY CENTER, LLC


Practice Location:
12333 NE 130TH LN SUITE 500 KIRKLAND, WA 98034 US
Tel: 425-899-5656  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
WA

Other Provider Identifiers:

IssuerNumberStateType
7123631WA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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