Provider Demographics
NPI:1184240277
Name:EVANS & COMPANY HEALTHCARE PC
Entity type:Organization
Organization Name:EVANS & COMPANY HEALTHCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARLIE
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:IRVIN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:503-887-5011
Mailing Address - Street 1:2330 MORADA LN
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-3641
Mailing Address - Country:US
Mailing Address - Phone:503-887-5011
Mailing Address - Fax:
Practice Address - Street 1:2330 MORADA LN
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-3641
Practice Address - Country:US
Practice Address - Phone:503-887-5011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center