Pediatrics, Adolescent Medicine
EVERGREEN PEDIATRIC CLINIC PS
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 Plan acceptance stays unpublished until the practice reports it.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 1144343773 · enumerated 2007-04-09 · record updated 2020-02-21. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: TERI BRYANT, Office Manager · (360) 892-1635
Addresses and phones
- Mailing address 505 NE 87TH AVE, STE 120, VANCOUVER, WA, 98664-1989 (360) 892-1635 Fax (360) 892-3146 Google Maps Apple Maps OpenStreetMap
- Practice location 505 NE 87TH AVE, STE 120, VANCOUVER, WA, 98664-1989 (360) 892-1635 Fax (360) 892-3146 Google Maps Apple Maps OpenStreetMap
Specialties
- Pediatrics, Adolescent Medicine 2080A0000X · Primary · License 601 115 723 WA
In this directory
Locations and evidence
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Practice location
VANCOUVER, WA, 986641989
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.