Individual
MS. COLLETTE MARIE EVRARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 721-7802
Mailing address
22605 S ESTACADA RD, ESTACADA, OR 97023-9670
(503) 545-7635
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200650018NP
OR
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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