Organization · Type 2 NPI

Awh Evergreen PC

Family Medicine Physician · Bonney Lake, WA

NPI number 1205726353 Active

Practice location

18209 State Route 410 E Ste 303
Bonney Lake, WA 98391-5146

Mailing address

10501 W Gowan Rd Ste 200
Las Vegas, NV 89129-6602

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1205726353

Awh Evergreen PC's National Provider Identifier is 1205726353, issued on Jul 8, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bonney Lake, WA. The record was last updated on Jul 8, 2025.