Evergreen Urology Consultants LLC

NPI #1013004803 in Issaquah, Washington

Provider Information

NPI Number: 1013004803
Entity Type: Organization
Organization Name: Evergreen Urology Consultants LLC
Subpart: Yes (part of a larger organization)
Parent Organization: EVERGREEN UROLOGY CONSULTANTS LLC
Primary Specialty: Specialist
Enumeration Date: Oct 5, 2006
Last Updated: Feb 21, 2008

Practice Location

Address: 6520 226TH PL SE
Address 2: SUITE 205
City: Issaquah
State: Washington
ZIP Code: 98027-8969
Phone: (425) 392-8611

Authorized Official

Name: LORA PLASKON, MD
Title: OWNER
Phone: (425) 392-8611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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