Kandas, Evonne Maria

Kandas, Evonne Maria is an individual health care provider with primary practice located at 1130 Nw 22Nd Ave Suite 110, Portland OR 97210-2900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Kandas, Evonne Maria can be contacted via phone (503) 413-8654.

Contact Information

Primary practice address
1130 Nw 22Nd Ave Suite 110 Portland OR 97210-2900
Phone: (503) 413-8654
Fax: (503) 413-8655
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 089000443N7 Oregon

Profile Details

NPI number 1689677445
LBN Legal business name Kandas, Evonne Maria
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Apr 21st, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689677445 NPPES
Washington MEDICAID 2006647
Washington MEDICAID 268963

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