Evans, Jennifer

Evans, Jennifer is an individual health care provider with primary practice located at 14600 Nw Cornell Rd , Portland OR 97229-5442. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Evans, Jennifer can be contacted via phone (502) 645-3581.

Contact Information

Primary practice address
14600 Nw Cornell Rd Portland OR 97229-5442
Phone: (502) 645-3581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1932466364
LBN Legal business name Evans, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2012
Last updated Jan 9th, 2018 - about 8 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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