Evans, Jonathan Wallace

Evans, Jonathan Wallace is an individual health care provider with primary practice located at 3680 Nw Samaritan Dr , Corvallis OR 97330-3737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Evans, Jonathan Wallace can be contacted via phone (541) 754-1276.

Contact Information

Primary practice address
3680 Nw Samaritan Dr Corvallis OR 97330-3737
Phone: (541) 754-1276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5101015261 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 43700 Oregon

Profile Details

NPI number 1760517478
LBN Legal business name Evans, Jonathan Wallace
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jun 26th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760517478 NPPES
Oregon Other P00626446 MEDICARE RAILROAD
Oregon Other R138023 MEDICARE RAILROAD
Oregon MEDICAID 274339 MEDICARE RAILROAD

Popular Providers