| NPI | 1467940726 |
|---|---|
| Former Legal Business Name | EVERGREEN INTEGRATIVE GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | D'ANN SPRINKLE Practice Administrator 360-964-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA 00041848) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2023-08-31 |