NPI 1568464261 · live from the CMS NPI Registry
Bradley H Evans, MD
Internal Medicine, Cardiovascular Disease in Gresham, OR. National Provider Identifier 1568464261, active.
NPI record
| NPI | 1568464261 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 24900 Se Stark St Ste 109, Gresham, OR 97030 |
| Practice phone | 503-413-7162 |
| Enumerated | August 11, 2005 |
| Last updated | February 20, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | MD00043084 (WA) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | MD17468 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.