Evans, Roderick
Evans, Roderick is an sole proprietor health care provider with primary practice located at 107 E Main St Ste 11 , Medford OR 97501-6022. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Evans, Roderick can be contacted via phone (541) 779-4658.Contact Information
Primary practice address
107 E Main St Ste 11
Medford OR 97501-6022
Phone: (541) 779-4658
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 12-CRM-013 | Oregon |
Profile Details
| NPI number | 1922429174 |
|---|---|
| LBN Legal business name | Evans, Roderick |
| Credentials | CRM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2013 |
| Last updated | Dec 13th, 2013 - about 13 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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