Mcevoy, Kevin Michael

Mcevoy, Kevin Michael is an individual health care provider with primary practice located at 1130 Nw 22Nd Ave Suite 535, Portland OR 97210-2900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mcevoy, Kevin Michael can be contacted via phone (503) 274-4999.

Contact Information

Primary practice address
1130 Nw 22Nd Ave Suite 535 Portland OR 97210-2900
Phone: (503) 274-4999
Fax: (503) 796-9884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD21759 Oregon

Profile Details

NPI number 1730176702
LBN Legal business name Mcevoy, Kevin Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Sep 2nd, 2015 - about 11 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 1730176702 NPPES
Oregon MEDICAID 139483
Oregon MEDICAID 8239998
Oregon Other A018
Oregon Other 930766376
Oregon Other G07979
Oregon Other OR11317
Oregon Other 003395015
Oregon Other 130442
Oregon Other 340016102

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