institution
Evergreen Pediatric Clinic Ps
Pediatric Adolescent Medicine Physician in Vancouver, Washington
NPI 1144343773

Evergreen Pediatric Clinic Ps is a Pediatric Adolescent Medicine Physician based in Vancouver, WA and is specialized in Adolescent Medicine. Evergreen Pediatric Clinic Ps practices in Vancouver, WA. The NPI Number for Evergreen Pediatric Clinic Ps is 1144343773 and holds a License No. 601 115 723 (Washington).

The current practice location address for Evergreen Pediatric Clinic Ps is 505 Ne 87Th Ave, Vancouver, WA and can be reached out via phone at 360-892-1635 and via fax at 360-892-3146.

Location: 505 Ne 87Th Ave, Vancouver, WA, 98664-1989
institution
Provider Profile Details
NPI Number
1144343773
Provider Name
Evergreen Pediatric Clinic Ps
Credential
Provider Entity Type
Organization
Address
505 Ne 87Th Ave, Vancouver, WA, 98664-1989
Phone Number
360-892-1635
Fax Number
360-892-3146
Provider Enumeration Date
04/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7033186 05 WA
institution
Provider Business Practice Location Address Details
Address
505 Ne 87Th Ave
City
State
Zip
98664-1989
Phone Number
360-892-1635
Fax Number
360-892-3146
person
Provider Business Mailing Address Details
Address
505 Ne 87Th Ave
City
State
Zip
98664-1989
Phone Number
360-892-1635
Fax Number
360-892-3146
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
601 115 723 (Washington)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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