EVERGREEN MEDICAL CENTER PS

VANCOUVER, WA
NPI1912953977
Entity TypeOrganization
Authorized ContactFUHUA HOLLY GUO
Medical Director
360-896-8963
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2006-05-25
Last Update Date2019-08-30
Business Address
EVERGREEN MEDICAL CENTER PS
304 N LIESER RD
VANCOUVER, WA 98664-2115
Phone number: 360-896-8963
Mailing Address
EVERGREEN MEDICAL CENTER PS
PO BOX 873175
VANCOUVER, WA 98687-3175
Phone number: 360-896-8963