EVERGREEN TREATMENT SERVICES (NPI# 1508911777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508911777 |
| Entity Type | Organization |
| Organization Name | EVERGREEN TREATMENT SERVICES |
| Other Organization Name | EVERGREEN TREATMENT SERVICES, UNIT 1 |
| Practice Address |
1700 Airport Way S Seattle WA 98134-1618 |
| Practice Telephone | 2062233644 |
| Practice Fax Number | 2062231482 |
| Mailing Telephone | 2062233644 |
| Mailing Fax Number | 2062231482 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-01-02 |
| Authorized Official Name | MARGARET CARNEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2062233644 |
| Is Organization Subpart | Y |
| Parent Organization Name | EVERGREEN TREATMENT SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
17 0163 00 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1990100 | 05 | |
| WA | 8008203 | 05 |
| Other Name | Type Code |
|---|---|
| Evergreen Treatment Services, Unit 1 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871729491 | Evergreen Treatment Services | Clinic/Center | 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 | 2009-06-10 |
| 1417405333 | Evergreen Treatment Services | Clinic/Center | 1412 Sw 43rd St, Suite 140, Renton, WA 98057-4803 | 2016-09-20 |
| 1851547244 | Evergreen Treatment Services | Clinic/Center | 1700 Airport Way S, Seattle, WA 98134-1618 | 2008-08-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EVERGREEN TREATMENT SERVICES | 1700 Airport Way S, Seattle, WA 98134-1618 |
| Washington State Corporations | EVERGREEN TREATMENT SERVICES | 1700 Airport Way S, Seattle, WA 98134-1618 |
| Street Address |
1700 AIRPORT WAY S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98134-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558416685 | Evergreen Treatment Services Unit 4 | Clinic/Center | 1700 Airport Way S, Seattle, WA 98134-1618 | 2007-01-25 |
| 1609477959 | Casandra Brown | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-11-03 |
| 1891394532 | Samantha Lindsay Floyd | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-23 |
| 1720687882 | Kasilyn Bagio Jensen | Technician | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-20 |
| 1609475789 | Febben Fekadu | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-20 |
| 1629676119 | Robert J. Wyatt | Registered Nurse | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-15 |
| 1902404007 | Anisa Abukar | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-12 |
| 1730787904 | Makayla Asclipiadis | Technician | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-11 |
| 1447857446 | Jaclynn Foster-wittig | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-03 |
| 1760099527 | Brian Bailey | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491925 | Mizu Massage Seattle LLC | Massage Therapist | 3250 Airportway South, 740, Seattle, WA 98134 | 2020-09-14 |
| 1861907008 | Norman Fuller | Counselor | 1700 Airport Way S., Seattle, WA 98134 | 2017-12-11 |
| 1447794391 | Ruth Aaronson | Specialist | 4636 E. Marginal Way, Seattle, WA 98134 | 2016-12-12 |
| 1811399223 | Alexandra Zigman | Physical Therapist | 2245 3rd Avenue South, Seattle, WA 98134 | 2014-09-17 |
| 1427467257 | Soar Academies | Local Education Agency (LEA) | 210 S Hudson, Seattle, WA 98134 | 2014-08-06 |
| 1730514449 | Vanessa G Schmidt | Counselor | 2133 3rd Avenue, Ets Reach, Seattle, WA 98134 | 2013-09-12 |
| 1932544152 | Anne Vickars Heidbrink | Registered Nurse | 3rd Ave South, Seattle School District, Seattle, WA 98134 | 2013-05-01 |
| 1003156324 | West Coast Behavioral Consultants Inc Dba Blueprints | Behavioral Analyst | 910 S. Horton St., Unit 703, Seattle, WA 98134 | 2013-02-22 |
| 1306194998 | George Butchko | Pharmacist | 4401 Fourth Ave S, Seattle, WA 98134 | 2012-08-29 |
| 1134438849 | Tzu S Chiang | Obstetrics & Gynecology | 4735 E. Marginal Way South, Seattle, WA 98134 | 2010-09-29 |
| Find all providers in zip 98134 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558416685 | Evergreen Treatment Services Unit 4 | Clinic/Center | 1700 Airport Way S, Seattle, WA 98134-1618 | 2007-01-25 |
| 1346497807 | Therapeutic Health Services | Clinic/Center | 1116 Summit Ave, Seattle, WA 98101-2831 | 2008-08-26 |
| 1851547244 | Evergreen Treatment Services | Clinic/Center | 1700 Airport Way S, Seattle, WA 98134-1618 | 2008-08-18 |
| 1922153055 | Evergreen Treatment Services Unit 2 | Clinic/Center | 1700 Airport Way S, Seattle, WA 98134-1618 | 2007-01-25 |
| 1831244961 | Evergreen Treatment Services Unit 3 | Clinic/Center | 1700 Airport Way S, Seattle, WA 98134-1618 | 2007-01-25 |
| 1740335876 | Evergreen Treatment Services Unit 6 | Clinic/Center | 1700 Airport Way S, Seattle, WA 98134-1618 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1871729491 | Evergreen Treatment Services | Clinic/Center | 6700 Martin Way E Ste 117, Olympia, WA 98516-5586 | 2009-06-10 |
| 1215074539 | Wchs Vancouver Treatment Solutions | Clinic/Center | 2009 Ne 117th St, Suite 101, Vancouver, WA 98686-4022 | 2007-01-30 |
| 1417405333 | Evergreen Treatment Services | Clinic/Center | 1412 Sw 43rd St, Suite 140, Renton, WA 98057-4803 | 2016-09-20 |
| 1548606171 | Therapeutic Health Services | Clinic/Center | 16715 Aurora Ave N Ste 102, Shoreline, WA 98133-5310 | 2013-05-22 |
| 1588871693 | Comprehensive Healthcare | Clinic/Center | 402 S 4th Ave, Yakima, WA 98902 | 2007-05-17 |
| 1770638983 | Evergreen Treatment Services Unit 5 | Clinic/Center | 6700 Martin Way E, Olympia, WA 98516-6502 | 2007-01-25 |
Please comment or provide details below to improve the information on EVERGREEN TREATMENT SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.