OrganizationActive
Evergreen Center for Integrative Medicine PLLC
NPI 1194483289 · Primary Care Clinic/Center · Seattle, WA
Provider details
- NPI number
- 1194483289
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Baker, Practice Manager(206) 729-0907
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
2008 Ne 65th St
Seattle, WA 98115-6934
Phone: (206) 729-0907
Fax: (206) 729-0199
Street-level locationGet directions
Mailing address
2008 Ne 65th St
Seattle, WA 98115-6934
Other names (DBA / former)
- Doing business as
- Bobbi Lutack,nd
Registry dates
- Enumerated
- 2021-12-06
- Last updated
- 2021-12-06
- Certified
- 2021-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.