Organization
SARA L EVANS DMD PC
Active
Other names
Northwest Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE EVANS (BUSINESS MANAGER)
(503) 556-0002
Entity
Organization
Contact information
Practice address
608 B STREET W, RAINIER, OR 97048
(503) 556-0002
(503) 556-4147
Mailing address
PO BOX 1029, RAINIER, OR 97048-1029
(503) 556-0002
(503) 556-4147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6604
OR
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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