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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811131550 NPPES
Oregon MEDICAID 500609751

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