GH EVERGREEN ENDOSCOPY CENTER SUB LLC – NPI #1386454650
Clinic/Center

GH EVERGREEN ENDOSCOPY CENTER SUB LLC is an AHC clinic located in KIRKLAND, WA. NPPES has assigned the NPI number 1386454650 to GH EVERGREEN ENDOSCOPY CENTER SUB LLC on January 09, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Feb 27, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GH EVERGREEN ENDOSCOPY CENTER SUB LLC below.

NPI Profile for
GH EVERGREEN ENDOSCOPY CENTER SUB LLC

NPI Number
1386454650
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GH EVERGREEN ENDOSCOPY CENTER SUB LLC
Primary location
11800 NE 128TH ST STE 100
KIRKLAND, WA 98034-7208
Phone: (469) 872-4706 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ERIC BOON
AUTHORIZED OFFICIAL
Phone: (480) 567-0269
Updated
Certification Date
Feb 27, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.