Brent K Evetts is a Specialist in Tualatin, Oregon. Brent K Evetts practices all healthcare services and medical treatments related to Specialist. The NPI Number for Brent K Evetts is 1538291547. The last update date is 2023-04-17.
Brent K Evetts's current location address is 19875 Sw 65th Ave, Tualatin, Oregon. You can contact this provider via phone number 5036911743 and fax number 5036910983. The mailing address for Brent K Evetts is 19875 Sw 65th Ave, Tualatin, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent K Evetts |
|---|---|
| Address | 19875 Sw 65th Ave, Tualatin, Oregon |
| Phone Number | 5036911743 |
| Fax Number | 5036910983 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1538291547 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2023-04-17 |
Provider Mailing Address Detail
| Address | 19875 Sw 65th Ave |
|---|---|
| City | Tualatin |
| State | Oregon (OR) |
| Post Code | 970628353 |
| Phone Number | 5036911743 |
| Fax Number | 5036910983 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD20653 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150330 | OR | -- |
Post Comment/ Review Below
What is the Brent K Evetts's unique identification number?
The Brent K Evetts has been assigned the NPI (National Provider Identifier) Number 1538291547 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Brent K Evetts's facilities are situated?
The facilities of Brent K Evetts are physically located at the following address: 19875 Sw 65Th Ave, Tualatin, OR, 970628353.
What is the area of specialization for Brent K Evetts, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brent K Evetts is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
When did Brent K Evetts receive its 1538291547 assignment?
The Brent K Evetts was assigned its 1538291547 on 2007-03-12, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Brent K Evetts, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brent K Evetts, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-04-17.
NPI Number: 1104826072
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