OrganizationActive
Evergreen Neurology Clinic, PLLC
NPI 1174710966 · Neurology Physician · Kirkland, WA
Evergreen Neurology Clinic, PLLC is a Neurology Physician organization in Kirkland, WA (NPI 1174710966).
Provider details
- NPI number
- 1174710966
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Raymond Park, Owner(425) 822-1214
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12303 Ne 130th Ln
Suite 325
Kirkland, WA 98034-3099
Phone: (425) 822-1214
Street-level locationGet directions
Mailing address
Po Box 69737
Seattle, WA 98168-8737
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2008-02-29
Frequently asked questions
- What is Evergreen Neurology Clinic, PLLC's NPI number?
- Evergreen Neurology Clinic, PLLC's National Provider Identifier (NPI) is 1174710966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Neurology Clinic, PLLC?
- Evergreen Neurology Clinic, PLLC is classified in the NPPES registry as Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Evergreen Neurology Clinic, PLLC located?
- Evergreen Neurology Clinic, PLLC's practice location on file with NPPES is 12303 Ne 130th Ln, Kirkland, WA 98034-3099.
- What is Evergreen Neurology Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Neurology Clinic, PLLC is (425) 822-1214.
- Who is the authorized official for Evergreen Neurology Clinic, PLLC?
- The authorized official listed on Evergreen Neurology Clinic, PLLC's NPPES record is Raymond Park, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Neurology Clinic, PLLC's NPI active?
- Yes — Evergreen Neurology Clinic, PLLC's NPI (1174710966) is active in the NPPES registry as of the last update on 2008-02-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.