Evans, Jeremy Lynn

Evans, Jeremy Lynn is an individual health care provider with primary practice located at 400 Virginia Ave Ste 201 , North Bend OR 97459-3444. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Evans, Jeremy Lynn can be contacted via phone (541) 751-0357.

Contact Information

Primary practice address
400 Virginia Ave Ste 201 North Bend OR 97459-3444
Phone: (541) 751-0357
Fax: (541) 751-9985
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X T-21-1194 Oregon

Profile Details

NPI number 1922761873
LBN Legal business name Evans, Jeremy Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2021
Last updated Oct 18th, 2021 - about 3 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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