Evergreen Pediatric Clinic Ps in Vancouver - Adolescent Medicine
Evergreen Pediatric Clinic Ps - NPI 1144343773
Evergreen Pediatric Clinic Ps is a Adolescent Medicine in Vancouver, Washington. Evergreen Pediatric Clinic Ps practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Evergreen Pediatric Clinic Ps is 1144343773. The last update date is 2020-02-21.
Evergreen Pediatric Clinic Ps's current location address is 505 Ne 87th Ave, Vancouver, Washington. You can contact this provider via phone number 3608921635 and fax number 3608923146. The mailing address for Evergreen Pediatric Clinic Ps is 505 Ne 87th Ave, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Pediatric Clinic Ps |
|---|---|
| Address | 505 Ne 87th Ave, Vancouver, Washington |
| Phone Number | 3608921635 |
| Fax Number | 3608923146 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Bryant Teri |
| Telephone Number | 3608921635 |
NPI Number Detail
| NPI Number | 1144343773 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2020-02-21 |
Provider Mailing Address Detail
| Address | 505 Ne 87th Ave |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986641989 |
| Phone Number | 3608921635 |
| Fax Number | 3608923146 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 601 115 723 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7033186 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Evergreen Pediatric Clinic Ps by the Centers for Medicare & Medicaid Services?
The Evergreen Pediatric Clinic Ps has been assigned the NPI (National Provider Identifier) 1144343773 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Evergreen Pediatric Clinic Ps is physically located?
The Evergreen Pediatric Clinic Ps is situated at the following address: 505 Ne 87Th Ave, Vancouver, WA 986641989.
What is Evergreen Pediatric Clinic Ps's area of expertise and its corresponding taxonomy classification?
The Evergreen Pediatric Clinic Ps's field of specialization is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Evergreen Pediatric Clinic Ps receive its 1144343773 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Pediatric Clinic Ps was assigned its 1144343773 by the Centers for Medicare & Medicaid Services on 2007-04-09.
As of what date was the information regarding Evergreen Pediatric Clinic Ps, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Evergreen Pediatric Clinic Ps, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-02-21.