| NPI | 1467542639 |
|---|---|
| Doing Business As | EVERGREENHEALTH MEDICAL GROUP PRO FEES |
| Entity Type | Organization |
| Authorized Contact | FRANK HEMEON Interim CFO 425-899-2606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2023-11-07 |