Dean, Evan
Dean, Evan is an sole proprietor health care provider with primary practice located at 1820 Se 50Th Ave , Portland OR 97215-3236. He recently has only one registered license in Nursing Service Providers / Community Health, which is considered as his primary health care specialty. Dean, Evan can be contacted via phone (503) 975-6444.Contact Information
Primary practice address
1820 Se 50Th Ave
Portland OR 97215-3236
Phone: (503) 975-6444
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | 201501092RN | Oregon |
Profile Details
| NPI number | 1487181004 |
|---|---|
| LBN Legal business name | Dean, Evan |
| Credentials | REGISTERED NURSE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2017 |
| Last updated | May 12th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487181004 | NPPES |
| Oregon | MEDICAID | 201501092RN |
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