Organization · Type 2 NPI

Evergreen Pediatric Clinic PS

Pediatric Adolescent Medicine Physician · Vancouver, WA

NPI number 1144343773 Active

Practice location

505 NE 87th Ave, Ste 120
Vancouver, WA 98664-1989

Call (360) 892-1635 Map

Fax (360) 892-3146

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X601 115 723 (WA)

Pediatric Adolescent Medicine Physician: 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.

69 other providers at this address

About NPI 1144343773

Evergreen Pediatric Clinic PS's National Provider Identifier is 1144343773, issued on Apr 9, 2007. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Vancouver, WA. The record was last updated on Feb 21, 2020.