Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Evergreen Neurology Clinic, PLLC

Organization Neurology Physician · NPI 1174710966

Evergreen Neurology Clinic, PLLC provides Neurology Physician services in Kirkland, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007
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

12303 NE 130th Ln Ste 325
Kirkland, WA 98034-3099 Not confirmed with CMS for 18 years — call before visiting
Phone: (425) 822-1214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X (WA)

Record details

NPI number1174710966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Park — Owner · (425) 822-1214
NPI enumeratedSeptember 26, 2007
Last updated in NPPESFebruary 29, 2008
Mailing addressPo Box 69737, Seattle, WA 98168-8737

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