Individual
DR. TRAVIS R EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
8225 SW TUALATIN SHERWOOD RD, TUALATIN, OR 97062-8441
(503) 692-9386
(503) 612-9437
Mailing address
8225 SW TUALATIN SHERWOOD RD, TUALATIN, OR 97062-8441
(503) 692-9386
(503) 612-9437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9286
OR
1223G0001X
General Practice Dentistry
Primary
D9286
OR
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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