Evans, Thomas Russell
Evans, Thomas Russell is an sole proprietor health care provider with primary practice located at 2959 Siskiyou Blvd Ste B , Medford OR 97504-8131. He recently has 2 registered licenses in different health care specialties including Hospitals / Military Hospital, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Evans, Thomas Russell can be contacted via phone (541) 773-3636.Contact Information
Primary practice address
2959 Siskiyou Blvd Ste B
Medford OR 97504-8131
Phone: (541) 773-3636
Fax: (541) 773-4643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Military Hospital | 286500000X | Virginia | |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | DO201198 | Oregon |
Profile Details
| NPI number | 1568757086 |
|---|---|
| LBN Legal business name | Evans, Thomas Russell |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2011 |
| Last updated | Sep 21st, 2021 - about 4 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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