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

Evergreen Neurology Clinic, PLLC

Organization Neurology Physician · NPI 1174710966

Evergreen Neurology Clinic, PLLC is a Neurology Physician in Kirkland, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
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

12303 NE 130th Ln Ste 325
Kirkland, WA 98034-3099
Phone: (425) 822-1214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X (WA)

Record details

NPI number1174710966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Park — Owner · (425) 822-1214
NPI enumeratedSeptember 26, 2007
Last updated in NPPESFebruary 29, 2008
Mailing addressPo Box 69737, Seattle, WA 98168-8737

Other providers in Kirkland