Evergreen Urology Consultants Llc
May also be knows as Athena Urolgoy
Specialist in Issaquah, WA(View on Map)
Legal Business Name
Evergreen Urology Consultants Llc
Also Known As
Athena Urolgoy
NPI Number
1013004803
NPI Type
Organization
Enumeration Date
10/05/2006
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
6520 226TH PL SE
6520 226TH PL SE
City
Issaquah
Issaquah
State
WA
WA
Postal Code
98027-8969
98027-8969
Country
US
US
Telephone Number
(425) 392-8611
(425) 392-8611
Authorized Official
Name
Lora Plaskon
Title or Position
OWNER
Telephone Number
(425) 392-8611
Identifiers
Identifier
DG3321
Identifier State
WA
Identifier Issuer
RAILROAD MEDICARE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/21/2008
Provider Address
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