| Evergreen Primary Care Collaborative P LLC | |
|
1377 R St Nw Ste 200 Washington DC 20009-6293 | |
| (202) 745-7000 | |
| Not Available |
| Full Name | Evergreen Primary Care Collaborative P LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1377 R St Nw Ste 200, Washington, District Of Columbia |
| Authorized Official Name and Position | Alison Huffstetler (OWNER) |
| Authorized Official Contact | 7712441262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Primary Care Collaborative P LLC 1377 R St Nw Ste 200 Washington DC 20009-6293 Ph: (771) 244-1262 | Evergreen Primary Care Collaborative P LLC 1377 R St Nw Ste 200 Washington DC 20009-6293 Ph: (202) 745-7000 |
| NPI Number | 1932063211 |
|---|---|
| Provider Enumeration Date | 12/11/2025 |
| Last Update Date | 10/02/2026 |
| Certification Date | 10/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932063211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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