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1912953977
EVERGREEN MEDICAL CENTER PS
VANCOUVER, WA
NPI
1912953977
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Entity Type
Organization
Authorized Contact
FUHUA HOLLY GUO
Medical Director
360-896-8963
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2006-05-25
Last Update Date
2019-08-30
Business Address
EVERGREEN MEDICAL CENTER PS
304 N LIESER RD
VANCOUVER, WA 98664-2115
Phone number: 360-896-8963
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Mailing Address
EVERGREEN MEDICAL CENTER PS
PO BOX 873175
VANCOUVER, WA 98687-3175
Phone number: 360-896-8963
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