Organization

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)

Code

174400000X

Primary Taxonomy

Yes

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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