Awh Evergreen Pc

LBN: Awh Evergreen Pc
Awh Evergreen Pc is an health care organization with primary practice located at 18209 State Route 410 E Ste 303 , Bonney Lake WA 98391-5146. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Awh Evergreen Pc can be contacted via phone (725) 204-6055, or through Wilkinson, Amanda via phone (725) 204-6055.

Contact Information

Primary practice address
18209 State Route 410 E Ste 303 Bonney Lake WA 98391-5146
Phone: (725) 204-6055
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilkinson, Amanda
Phone: (725) 204-6055

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1205726353
LBN Legal business name Awh Evergreen Pc
DBA Doing business as
Authorized official Wilkinson, Amanda
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2025
Last updated Jul 8th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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