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Evergreen Surgery Center, LLC

Ambulatory Surgical Clinic/Center in Kirkland, WA · enumerated 2005 · authorized official Jeff Tomlin, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689655334

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Surgery Center, LLC
Other name <Unavail>
Practice address 12333 Ne 130th Ln, Suite 500, Kirkland, WA, 98034
Fax (425) 899-5638
Enumeration date Nov 9, 2005
Last updated in NPPES Sep 20, 2007

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jeff Tomlin
Title Executive Director

Other identifiers

Identifier Type State Issuer
7123631 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Evergreen Surgery Center, LLC?
Evergreen Surgery Center, LLC is registered in NPPES as a Ambulatory Surgical Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-20.