OrganizationActive
Awh Evergreen PC
NPI 1205726353 · Family Medicine Physician · Bonney Lake, WA
Awh Evergreen PC is a Family Medicine Physician organization in Bonney Lake, WA (NPI 1205726353).
Provider details
- NPI number
- 1205726353
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amanda Wilkinson, Director of Operations(725) 204-6055
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
18209 State Route 410 E Ste 303
Bonney Lake, WA 98391-5146
Phone: (725) 204-6055
Street-level locationGet directions
Mailing address
10501 W Gowan Rd Ste 200
Las Vegas, NV 89129-6602
Other names (DBA / former)
- Other name
- Ageless Women'S Health
Registry dates
- Enumerated
- 2025-07-08
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Frequently asked questions
- What is Awh Evergreen PC's NPI number?
- Awh Evergreen PC's National Provider Identifier (NPI) is 1205726353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Awh Evergreen PC?
- Awh Evergreen PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Awh Evergreen PC located?
- Awh Evergreen PC's practice location on file with NPPES is 18209 State Route 410 E Ste 303, Bonney Lake, WA 98391-5146.
- What is Awh Evergreen PC's phone number?
- The practice phone number listed in the NPPES registry for Awh Evergreen PC is (725) 204-6055.
- Who is the authorized official for Awh Evergreen PC?
- The authorized official listed on Awh Evergreen PC's NPPES record is Amanda Wilkinson, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Awh Evergreen PC's NPI active?
- Yes — Awh Evergreen PC's NPI (1205726353) is active in the NPPES registry as of the last update on 2025-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.