Evans, Evan L

Evans, Evan L is an individual health care provider with primary practice located at 1343 A Monmouth St , Independence OR 97351-0248. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Hearing Instrument Specialist is his primary health care specialty. Evans, Evan L can be contacted via phone (503) 838-3001.

Contact Information

Primary practice address
1343 A Monmouth St Independence OR 97351-0248
Phone: (503) 838-3001
Fax: (503) 838-0994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HASP119476 Oregon
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 30205 Oregon

Profile Details

NPI number 1609901024
LBN Legal business name Evans, Evan L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609901024 NPPES
Oregon MEDICAID 229575

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