Evergreen Functional Medicine LLC
NPI #1760206197 in Spokane, Washington
Provider Information
- NPI Number
- 1760206197
- Entity Type
- Organization
- Organization Name
- Evergreen Functional Medicine LLC
- Primary Specialty
- Pharmacist
- Enumeration Date
- Nov 12, 2024
- Last Updated
- Nov 12, 2024
Practice Location
- Address
- 607 W WILLAPA AVE
- City
- Spokane
- State
- Washington
- ZIP Code
- 99224-5337
- Phone
- (509) 720-6314
Authorized Official
- Name
- MS. JANE COX
- Title
- ADMINISTRATOR/ACCESS MANAGER
- Phone
- (949) 664-2796
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist - Nutrition Support — Nutrition Support |
| Pharmacist |
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