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Evergreen Radia Llc
Diagnostic Radiology Physician in Kirkland, Washington
NPI 1922095694

Evergreen Radia Llc is a Diagnostic Radiology Physician based in Lynnwood, WA and is specialized in Diagnostic Radiology. Evergreen Radia Llc practices in Kirkland, WA. The NPI Number for Evergreen Radia Llc is 1922095694 and holds a License No. 602317167 (Washington).

The current practice location address for Evergreen Radia Llc is 11521 Ne 128Th St, Kirkland, WA and can be reached out via phone at 425-952-6100 and via fax at 425-952-6150.

Location: 11521 Ne 128Th St, Kirkland, WA, 98036-4748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922095694
Provider Name
Evergreen Radia Llc
Credential
Provider Entity Type
Organization
Address
11521 Ne 128Th St, Kirkland, WA, 98036-4748
Phone Number
425-952-6100
Fax Number
425-952-6150
Provider Enumeration Date
09/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7118227 05 WA
175238 01 WA GROUP LABOR & INDUSTRIES
8933574 01 WA GROUP CRIME VICTIMS
institution
Provider Business Practice Location Address Details
Address
11521 Ne 128Th St
City
Kirkland
State
Washington
Zip
98034-4317
Phone Number
425-952-6100
Fax Number
425-952-6150
person
Provider Business Mailing Address Details
Address
11521 Ne 128Th St
City
Kirkland
State
Washington
Zip
98034-4317
Phone Number
425-952-6100
Fax Number
425-952-6150
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
602317167 (Washington)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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