DR KATIE EVANS INC NPI 1255500203

NPI Information

NPI: 1255500203
Provider Name: DR KATIE EVANS INC

Former Legal Business Name: EVANS & SULLIVAN

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
19943 SW JETTE LN
BEAVERTON, OR
ZIP 97006
Phone: (503) 756-6117
Get Directions

DR KATIE EVANS INC is a professional counselor in Beaverton, OR. DR KATIE EVANS INC NPI is 1255500203. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Evans & Sullivan.

The provider's business location address is:

19943 SW JETTE LN
BEAVERTON, OR
ZIP 97006-789
Phone: (503) 756-6117
Fax: (503) 524-3778

The provider's authorized official is Katie Evans Kelley .
The authorized official title is Treatment Director Ceo and has the following contact phone number (503) 756-6117.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 10/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	860106	OREGON	No
2	101YP2500X	Counselor	Professional	CP00004591	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	669401100000	OTHER	OREGON	LIFEWISE
2	3006890	OTHER	OREGON	REGENCE BLUECROSS BLUESHIELD OF OREGON
3	283365	OTHER	OREGON	MULTIPLAN
4	1615-01	OTHER		PBH
5	0001152747	OTHER		MHN SERVICES
6	100000012349	OTHER	OREGON	REGENCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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