Evetts, Brent K
Evetts, Brent K is an sole proprietor health care provider with primary practice located at 19875 Sw 65Th Ave Suite 260, Tualatin OR 97062-8353. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Evetts, Brent K can be contacted via phone (503) 691-1743.Contact Information
Primary practice address
19875 Sw 65Th Ave Suite 260
Tualatin OR 97062-8353
Phone: (503) 691-1743
Fax: (503) 691-0983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD20653 | Oregon |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | MD20653 | Oregon |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD20653 | Oregon |
Profile Details
| NPI number | 1538291547 |
|---|---|
| LBN Legal business name | Evetts, Brent K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Apr 17th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538291547 | NPPES |
| Oregon | MEDICAID | 150330 |
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