# MADRAS MEDICAL GROUP P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093768533
- **Authorized official:** DR. DAVID V EVANS MD (VICE PRESIDENT)
- **Authorized official phone:** (541) 475-3874

## Contact information

- **Practice address:** 76 NE 12TH ST, MADRAS, OR 97741-1827
- **Practice address phone:** (541) 475-3874
- **Practice address fax:** (541) 475-3503
- **Mailing address:** 76 NE 12TH ST, MADRAS, OR 97741-1827
- **Mailing address phone:** (541) 475-3874
- **Mailing address fax:** (541) 475-3503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 05/20/2009