Evergreen Children'S Clinic, PLLC
NPI 1568527539 · Pediatric Adolescent Medicine Physician · Puyallup, WA
Evergreen Children'S Clinic, PLLC is a Pediatric Adolescent Medicine Physician organization in Puyallup, WA (NPI 1568527539).
Provider details
- NPI number
- 1568527539
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susanne Roach, Office Manager(253) 848-2303
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Other name
- Pediatrics Pm
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2020-08-22
Frequently asked questions
- What is Evergreen Children'S Clinic, PLLC's NPI number?
- Evergreen Children'S Clinic, PLLC's National Provider Identifier (NPI) is 1568527539, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Children'S Clinic, PLLC?
- Evergreen Children'S Clinic, PLLC is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Evergreen Children'S Clinic, PLLC located?
- Evergreen Children'S Clinic, PLLC's practice location on file with NPPES is 1910 S Meridian, Puyallup, WA 98371-7531.
- What is Evergreen Children'S Clinic, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Children'S Clinic, PLLC is (253) 848-2303.
- Who is the authorized official for Evergreen Children'S Clinic, PLLC?
- The authorized official listed on Evergreen Children'S Clinic, PLLC's NPPES record is Susanne Roach, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Children'S Clinic, PLLC's NPI active?
- Yes — Evergreen Children'S Clinic, PLLC's NPI (1568527539) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.