Individual
DR. EVONN LB O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5952 BLACKSTONE WAY, NINE MILE FALLS, WA 99026-4900
(509) 464-3627
(509) 466-9517
Mailing address
5952 BLACKSTONE WAY, NINE MILE FALLS, WA 99026-4900
(509) 464-3627
(509) 466-9517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00036446
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0198643
WORKERS COMPENSATION
WA
05
—
8250649
—
WA
01
—
8906391
CRIME VICTIM COMPENSATION
WA
Enumeration date
05/15/2006
Last updated
05/09/2013
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