Individual
EVAN MIKAEL MULTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
OHSU 3181 SW SAM JACKSON PARK RD. L-579, PORTLAND, OR 97239
(503) 494-8311
Mailing address
OHSU 3181 SW SAM JACKSON PARK RD. L-579, PORTLAND, OR 97239
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1174375802
LA
Other
Enumeration date
04/04/2024
Last updated
08/28/2025
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