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

Evergreen Children's Clinic, PLLC

Organization Pediatric Adolescent Medicine Physician · NPI 1568527539

Evergreen Children's Clinic, PLLC is a Pediatric Adolescent Medicine Physician in Puyallup, Washington. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1910 S Meridian Ste A
Puyallup, WA 98371-7531
Phone: (253) 848-2303
Fax: (253) 848-8956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1568527539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susanne Roach — Office Manager · (253) 848-2303
Other names Pediatrics Pm
NPI enumeratedDecember 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1910 S Meridian, Suite A, Puyallup, WA 98371-7531

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