Evans, Matthew Michael

Evans, Matthew Michael is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 315 , Portland OR 97213-2982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Evans, Matthew Michael can be contacted via phone (503) 215-8580.

Contact Information

Primary practice address
5050 Ne Hoyt St Ste 315 Portland OR 97213-2982
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X DO164780 Oregon

Profile Details

NPI number 1164647061
LBN Legal business name Evans, Matthew Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Nov 25th, 2022 - about 3 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 1164647061 NPPES
Oregon MEDICAID 500667687

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