Evans, Travis R
Evans, Travis R is an individual health care provider with primary practice located at 8225 Sw Tualatin Sherwood Rd , Tualatin OR 97062-8441. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Evans, Travis R can be contacted via phone (503) 692-9386.Contact Information
Primary practice address
8225 Sw Tualatin Sherwood Rd
Tualatin OR 97062-8441
Phone: (503) 692-9386
Fax: (503) 612-9437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D9286 | Oregon |
| Dental Providers / General Practice | 1223G0001X | D9286 | Oregon |
Profile Details
| NPI number | 1164651857 |
|---|---|
| LBN Legal business name | Evans, Travis R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2009 |
| Last updated | Jul 2nd, 2009 - about 16 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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