Organization
NORTHWEST IV, LLC
Active
Other names
Evolve Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PERRY (MANAGING DIRECTOR)
(503) 447-3285
Entity
Organization
Contact information
Practice address
6400 SE LAKE RD STE 155, PORTLAND, OR 97222-2137
(503) 447-3285
(503) 917-4971
Mailing address
6400 SE LAKE RD STE 155, PORTLAND, OR 97222-2137
(503) 447-3285
(503) 917-4971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD22534
OR
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
201392160NP-PP
OR
Other
Enumeration date
08/06/2018
Last updated
02/05/2026
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