Individual
DR. MARK B EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
291 W 12TH AVE, EUGENE, OR 97401-3409
(541) 747-2308
Mailing address
PO BOX 3262, EUGENE, OR 97403-0262
(541) 747-2308
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
789
OR
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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