Provider Demographics
NPI:1629089313
Name:EVANS, TRUDY ZUMBUHL (FNP)
Entity Type:Individual
Prefix:MS
First Name:TRUDY
Middle Name:ZUMBUHL
Last Name:EVANS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54687 BINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:OR
Mailing Address - Zip Code:97810-3005
Mailing Address - Country:US
Mailing Address - Phone:541-566-3598
Mailing Address - Fax:
Practice Address - Street 1:73265 CONFEDERATED WAY
Practice Address - Street 2:
Practice Address - City:PENDLETON
Practice Address - State:OR
Practice Address - Zip Code:97810
Practice Address - Country:US
Practice Address - Phone:541-278-7585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR087000189N1 FNP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR171037Medicaid
OR171037Medicaid