Evergreen AIDS Foundation

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

EVERGREEN AIDS FOUNDATION

Practice address

1509 Cornwall Ave
Bellingham, WA 98225-4521

Phone

(360) 671-0703

Fax

(360) 671-9882

NPI assigned

Jun 29, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Deborah L. Westergreen

Title

Support Services Administrator

Phone

(360) 671-0703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1578874111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254521",
            "telephone_number": "360-671-0703",
            "fax_number": "360-671-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254521",
            "telephone_number": "360-671-0703",
            "fax_number": "360-671-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN AIDS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "WESTERGREEN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SUPPORT SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "360-671-0703",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel J. Eusebio, MD
• Claire Evans, MSW, LICSW, BCD
• Ethan Spencer Evans
• Kelly L Evans, M.D.
• Richard J Evans V, MA
• Evergreen at Bellingham, L.L.C.
• Evergreen Community & Support Services LLC
• Evergreen North Cascades Health & Rehab Ctr.
• Evergreen Psychiatry, LLC
• Evergreen Supported Living

• Case Management Agency in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.