MRS. EVONNE MARIA KANDAS N.P. NPI 1689677445

NPI Information

NPI: 1689677445
Provider Name: MRS. EVONNE MARIA KANDAS, N.P.
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
1130 NW 22ND AVE
SUITE 110
PORTLAND, OR
ZIP 97210
Phone: (503) 413-8654
Get Directions

MRS. Evonne Maria Kandas, N.P. is a women's health nurse practitioner in Portland, OR with 29 years of experience. MRS. Evonne Maria Kandas, N.P. NPI is 1689677445. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1130 NW 22ND AVE
SUITE 110
PORTLAND, OR
ZIP 97210-900
Phone: (503) 413-8654
Fax: (503) 413-8655

The NPI 1689677445 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 4/21/2017.

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	363LW0102X	Nurse Practitioner	Women's Health	089000443N7	OREGON	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
1	268963	MEDICAID	OREGON
2	R105513	MEDICARE PIN	OREGON
3	S73220	MEDICARE UPIN	OREGON
4	2006647	MEDICAID	WASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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