Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Awh Evergreen PC

Organization Family Medicine Physician · NPI 1205726353

Awh Evergreen PC is a Family Medicine Physician in Bonney Lake, Washington. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18209 State Route 410 E Ste 303
Bonney Lake, WA 98391-5146
Phone: (725) 204-6055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1205726353
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Wilkinson — Director Of Operations · (725) 204-6055
Other names Ageless Women'S Health
NPI enumeratedJuly 8, 2025
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025
Mailing address10501 W Gowan Rd Ste 200, Las Vegas, NV 89129-6602

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