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

Evergreen Gynecology Associates, PA

Organization Gynecology Physician · NPI 1629154463

Evergreen Gynecology Associates, PA is a Gynecology Physician in Bangor, Maine. Licensed in Maine. Registered with an NPI since 2006.

Licensed in
ME
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 Mount Hope Ave Ste 430
Bangor, ME 04401-5691
Phone: (207) 947-8658
Fax: (207) 947-4440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence 011478 (ME)

Record details

NPI number1629154463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jane Laeger — Owner · (207) 947-8658
NPI enumeratedOctober 27, 2006
Last updated in NPPESOctober 16, 2013
Mailing address700 Mount Hope Ave, Suite 430, Bangor, ME 04401-5691

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