EVERGREEN MEDICAL PANEL

Health Maintenance Organization

Active Organization
NPI: 1700074275

Practice Address

2411 S 19TH ST
Tacoma, WA 98405

Phone: (253) 572-4171

Specialties

Specialty Code Primary License
Health Maintenance Organization 302R00000X Yes 0700013011 (WA)

Frequently Asked Questions

NPI 1700074275 is the National Provider Identifier for EVERGREEN MEDICAL PANEL, a Health Maintenance Organization provider located in Tacoma, WA. This NPI was enumerated on October 10, 2007.

Quick Facts

NPI
1700074275
Type
Organization
Enumerated
Oct 10, 2007
Last Updated
Oct 11, 2007

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