Evans, Leasel Wayne

Evans, Leasel Wayne is an individual health care provider with primary practice located at 409 Nw 2Nd Ave , Canby OR 97013-3517. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Evans, Leasel Wayne can be contacted via phone (503) 266-1407.

Contact Information

Primary practice address
409 Nw 2Nd Ave Canby OR 97013-3517
Phone: (503) 266-1407
Fax: (503) 266-1849
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 201406240RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201709151NP-PP Oregon

Profile Details

NPI number 1275939043
LBN Legal business name Evans, Leasel Wayne
Credentials RN, MSN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2014
Last updated Mar 17th, 2018 - about 6 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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