Evans, Brian Taylor
Evans, Brian Taylor is an individual health care provider with primary practice located at 360 Sw Bond St Ste 330 , Bend OR 97702-3556. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Evans, Brian Taylor can be contacted via phone (541) 706-2768.Contact Information
Primary practice address
360 Sw Bond St Ste 330
Bend OR 97702-3556
Phone: (541) 706-2768
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1871 | Oregon |
Profile Details
| NPI number | 1811131550 |
|---|---|
| LBN Legal business name | Evans, Brian Taylor |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2009 |
| Last updated | Jan 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811131550 | NPPES |
| Oregon | MEDICAID | 500609751 |
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