Organization · Type 2 NPI

Evergreen Urology Consultants LLC

Specialist · Issaquah, WA

NPI number 1013004803 Active

Practice location

6520 226th Pl SE, Suite 205
Issaquah, WA 98027-8969

Fax (425) 392-9012

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1013004803

Evergreen Urology Consultants LLC's National Provider Identifier is 1013004803, issued on Oct 5, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Issaquah, WA. The record was last updated on Feb 21, 2008.