Athena Urolgoy

LBN: Evergreen Urology Consultants Llc
Athena Urolgoy is an health care organization with primary practice located at 6520 226Th Pl Se Suite 205, Issaquah WA 98027-8969. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Evergreen Urology Consultants Llc can be contacted via phone (425) 392-8611, or through Plaskon, Lora via phone (425) 392-8611.

Contact Information

Primary practice address
6520 226Th Pl Se Suite 205 Issaquah WA 98027-8969
Phone: (425) 392-8611
Fax: (425) 392-9012
Website:
Map and Directions
Authorized official contact:
Name: Plaskon, Lora Doctor of Medicine (MD)
Phone: (425) 392-8611

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1013004803
LBN Legal business name Evergreen Urology Consultants Llc
DBA Doing business as Athena Urolgoy
Authorized official Plaskon, Lora Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 5th, 2006
Last updated Feb 21st, 2008 - about 18 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 1013004803 NPPES
Washington Other DG3321 RAILROAD MEDICARE

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