Evergreen Medical Center Anesthesiology Services Ps

LBN: Evergreen Medical Center Anesthesiology Services Ps
Evergreen Medical Center Anesthesiology Services Ps is an health care organization with primary practice located at 12707 120Th Avenue Ne, #205 , Kirkland WA 98034. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Evergreen Medical Center Anesthesiology Services Ps can be contacted via phone (425) 899-5566, or through Tomlin, Jeffrey J via phone (503) 372-2740.

Contact Information

Primary practice address
12707 120Th Avenue Ne, #205 Kirkland WA 98034
Fax:
Website:
Authorized official contact:
Name: Tomlin, Jeffrey J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1376592154
LBN Legal business name Evergreen Medical Center Anesthesiology Services Ps
DBA Doing business as
Authorized official Tomlin, Jeffrey J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376592154 NPPES
Washington MEDICAID 7049224

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