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General NPI Number Information
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NPI Number | 1063356814
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Entity Type | Organization
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Legal Business Name | EVERGREEN RECOVERY CENTERS
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 160 CASCADE PL STE 110
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City | BURLINGTON
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State | WA
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Zip | 98233-3126
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Country | US
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Telephone | 425-493-5310
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Fax | 425-263-9706
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Provider Business Mailing Address
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Address Line | PO BOX 12598
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City | EVERETT
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State | WA
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Zip | 98206-2598
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Country | US
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Telephone | 425-465-7296
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Fax | 425-263-9706
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Authorized Official
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Title or Position | CHIEF QUALITY OFFICER
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Name | KATHY LYNN KAIN
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Credential |
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Telephone | 425-322-0867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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