| NPI | 1689655334 |
|---|---|
| Doing Business As | EVERGREEN SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFF TOMLIN Executive Director 425-899-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 602016036) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-09-20 |