| Awh Evergreen Pc | |
|
18209 State Route 410 E Ste 303 Bonney Lake WA 98391-5146 | |
| (725) 204-6055 | |
| Not Available |
| Full Name | Awh Evergreen Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 18209 State Route 410 E Ste 303, Bonney Lake, Washington |
| Authorized Official Name and Position | Amanda Wilkinson (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 7252046055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awh Evergreen Pc 10501 W Gowan Rd Ste 200 Las Vegas NV 89129-6602 Ph: (725) 204-6055 | Awh Evergreen Pc 18209 State Route 410 E Ste 303 Bonney Lake WA 98391-5146 Ph: (725) 204-6055 |
| NPI Number | 1205726353 |
|---|---|
| Provider Enumeration Date | 07/08/2025 |
| Last Update Date | 07/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205726353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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