Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Children's Clinic, PLLC

Organization Pediatric Adolescent Medicine Physician · NPI 1568527539

Evergreen Children's Clinic, PLLC provides Pediatric Adolescent Medicine Physician services in Puyallup, Washington. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1910 S Meridian Ste A
Puyallup, WA 98371-7531
Phone: (253) 848-2303
Fax: (253) 848-8956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1568527539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susanne Roach — Office Manager · (253) 848-2303
Other names Pediatrics Pm
NPI enumeratedDecember 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address1910 S Meridian, Suite A, Puyallup, WA 98371-7531

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