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Evergreen Treatment Services
Methadone Clinic in Renton, Washington
NPI 1417405333

Evergreen Treatment Services is a Methadone Clinic based in Seattle, WA and is specialized in Methadone. Evergreen Treatment Services practices in Renton, WA. The NPI Number for Evergreen Treatment Services is 1417405333 and holds a License No. 17 0163 00 (Washington).

The current practice location address for Evergreen Treatment Services is 1412 Sw 43Rd St, Renton, WA and can be reached out via phone at 425-264-0750 and via fax at 425-264-0799. You can also correspond with Evergreen Treatment Services through the mailing address at 1700 AIRPORT WAY S, SEATTLE, WA - 98134-1618 (mailing address contact number: 206-223-3644).

Location: 1412 Sw 43Rd St, Renton, WA, 98134-1618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417405333
Provider Name
Evergreen Treatment Services
Credential
Provider Entity Type
Organization
Address
1412 Sw 43Rd St, Renton, WA, 98134-1618
Phone Number
425-264-0750
Fax Number
425-264-0799
Provider Enumeration Date
09/20/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8008203 05 WA
institution
Provider Business Practice Location Address Details
Address
1412 Sw 43Rd St
City
Renton
State
Washington
Zip
98057-4803
Phone Number
425-264-0750
Fax Number
425-264-0799
person
Provider Business Mailing Address Details
Address
1700 Airport Way S
City
Seattle
State
Washington
Zip
98134-1618
Phone Number
206-223-3644
Fax Number
206-223-1482
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
17 0163 00 (Washington)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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