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

Evergreen Functional Medicine LLC

Organization Pharmacist · NPI 1760206197

Evergreen Functional Medicine LLC is a Pharmacist in Spokane, Washington. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

607 W Willapa Ave
Spokane, WA 99224-5337
Phone: (509) 720-6314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1303 W Summit Pkwy Lowr Level1, Spokane, WA 99201-7033 — (509) 720-6314

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X
Nutrition Support Pharmacist Taxonomy 1835N1003X

Record details

NPI number1760206197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Cox — Administrator/Access Manager · (949) 664-2796
NPI enumeratedNovember 12, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024
Mailing address607 W Willapa Ave, Spokane, WA 99224-5337

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