Evergreen Neurology Clinic, Pllc

LBN: Evergreen Neurology Clinic, Pllc
Evergreen Neurology Clinic, Pllc is an health care organization with primary practice located at 12303 Ne 130Th Ln Suite 325, Kirkland WA 98034-3099. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty. Evergreen Neurology Clinic, Pllc can be contacted via phone (425) 822-1214, or through Park, Raymond via phone (425) 822-1214.

Contact Information

Primary practice address
12303 Ne 130Th Ln Suite 325 Kirkland WA 98034-3099
Phone: (425) 822-1214
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Park, Raymond Doctor of Medicine (MD)
Phone: (425) 822-1214

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X Washington

Profile Details

NPI number 1174710966
LBN Legal business name Evergreen Neurology Clinic, Pllc
DBA Doing business as
Authorized official Park, Raymond Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2007
Last updated Feb 29th, 2008 - about 17 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.

Request for update

Popular Providers