Psychiatry & Neurology, Neurology
EVERGREEN NEUROLOGY CLINIC, PLLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1174710966 · enumerated 2007-09-26 · record updated 2008-02-29. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. RAYMOND PARK MD, OWNER · (425) 822-1214
Addresses and phones
- Mailing address PO BOX 69737, SEATTLE, WA, 98168-8737 (206) 431-0138 Fax (206) 246-5819 Google Maps Apple Maps OpenStreetMap
- Practice location 12303 NE 130TH LN, SUITE 325, KIRKLAND, WA, 98034-3099 (425) 822-1214 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Neurology 2084N0400X · Primary · License 602756604 WA
In this directory
Locations and evidence
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Practice location
KIRKLAND, WA, 980343099
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.