| Evergreen Behavioral Health | |
|
2621 Ne 134th St Ste 340 Vancouver WA 98686-3036 | |
| (360) 450-0140 | |
| (877) 343-0535 |
| Full Name | Evergreen Behavioral Health |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2621 Ne 134th St Ste 340, Vancouver, Washington |
| Authorized Official Name and Position | Jill B Fancher (CLINIC DIRECTOR/OWNER) |
| Authorized Official Contact | 3604500140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Behavioral Health 2621 Ne 134th St Ste 340 Vancouver WA 98686-3036 Ph: (360) 450-0140 | Evergreen Behavioral Health 2621 Ne 134th St Ste 340 Vancouver WA 98686-3036 Ph: (360) 450-0140 |
| NPI Number | 1205146776 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 10/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205146776 | NPI | - | NPPES |
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