Evergreen Ultrasound, Inc

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

40882 Issued in WA

Legal business name

EVERGREEN ULTRASOUND, INC

Practice address

3026 S Grand Blvd
Spokane, WA 99203-2560

Phone

(509) 747-7427

Fax

(888) 343-6937

NPI assigned

May 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Clint Stevens, RDMS, RVT, RT(R)NPI 1134171325

Title

Owner

Phone

(509) 747-7427

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clint Stevens, RDMS, RVT, RT(R)

  • Sonography Radiologic Technologist
  • Spokane, WA
  • NPI 1134171325
  NPD (past) Authorized official
• Jerry Alan Porter, CHIROPRACTOR

  • Chiropractor
  • Spokane, WA
  • NPI 1568440832
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144271396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8162",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992030162",
            "telephone_number": "509-747-7427",
            "fax_number": "888-343-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032560",
            "telephone_number": "509-747-7427",
            "fax_number": "888-343-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ULTRASOUND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-747-7427",
        "authorized_official_credential": "RDMS, RVT, RT(R)"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "WA",
            "license": "40882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Hematology and Oncology PS
• Evergreen Naturopathic
• Evergreen Naturopathic, Inc
• Evergreen Pharmaceutical, LLC (Omnicare of Spokane)
• Evergreen Transport
• Nyx Maeve Everly, LMCHA
• Molly C Everson, MS, CCC-SLP
• Everwell Counseling PLLC (Everwell Counseling)
• Everything in Sight
• Melanie Evjen, LICSWA

• Sonography Radiologic Technologist in Spokane, WA
• Providers in Spokane, WA by specialty
• Sonography Radiologic Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.