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Evergreen Children'S Clinic

Pediatric Nurse Practitioner in Puyallup, WA · enumerated 2012 · authorized official Susanne Roach, Office Manager.

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

National Provider Identifier

1750639704

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Children'S Clinic
Other name <Unavail>
Practice address 1910 Meridian St S, Suite A, Puyallup, WA, 98371
Phone (253) 848-2303
Fax (253) 848-8956
Enumeration date Aug 23, 2012
Last updated in NPPES Aug 23, 2012

Taxonomy & classification

363LP0200X Pediatric Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP60305667 (WA) Primary

Authorized official

Name Susanne Roach
Title Office Manager
Phone (253) 848-2303

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.

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Frequently asked questions

Where is Evergreen Children'S Clinic located?
The practice location on file with NPPES is in Puyallup, WA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-08-23. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-08-23.