Evergreen Pediatric Clinic Ps
Evergreen Pediatric Clinic Ps is a Pediatric Adolescent Medicine Physician in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2007.
- Licensed in
- WA
- In the registry since
- 2007
Practice location Address checks out
505 NE 87th Ave Ste 120Vancouver, WA 98664-1989
Phone: (360) 892-1635
Fax: (360) 892-3146
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Adolescent Medicine Physician (primary) | Taxonomy 2080A0000X · Licence 601 115 723 (WA) |
|---|
Record details
| NPI number | 1144343773 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Teri Bryant — Office Manager · (360) 892-1635 |
| NPI enumerated | April 9, 2007 |
| Last updated in NPPES | February 21, 2020 |
| Certification date | February 21, 2020 |
| Mailing address | 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664-1989 |
Other providers in Vancouver
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Katherine M Cronkhite, MD
505 NE 87th Ave Ste 120, Vancouver, WA 98664-1965 · (360) 892-1635
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Susan D Cuneo, MD
505 NE 87th Ave Ste 120, Vancouver, WA 98664-1989 · (360) 892-1635
-
Aidan H Derenne, MD
505 NE 87th Ave Ste 120, Vancouver, WA 98664-1989 · (360) 892-1635
-
Megan E Eussen, MD
505 NE 87th Ave Ste 120, Vancouver, WA 98664-1989 · (360) 892-1635
-
Charles E Fuchs, MD
505 NE 87th Ave Ste 120, Vancouver, WA 98664-1989 · (360) 892-1635
-
Katherine Elizabeth Holland, MD
505 NE 87th Ave Ste 120, Vancouver, WA 98664-1989 · (360) 892-1635
-
Kathleen M Hutchinson, MD
505 NE 87th Ave Ste 120, Vancouver, WA 98664-1989 · (360) 892-1635
-
Jennifer L Soden, MD
505 NE 87th Ave Ste 120, Vancouver, WA 98664-1989 · (360) 892-1635