Organization
NORTHWEST IV, LLC
Active
Parent organization
NORTHWEST IV, LLC
Other names
Evolve Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST IV, LLC
Authorized official
JOHN PERRY (MANAGING DIRECTOR)
(971) 358-9292
Entity
Organization
Contact information
Practice address
2255 NW SHEVLIN PARK RD STE 110, BEND, OR 97703-7134
(541) 728-2525
(971) 223-0919
Mailing address
6400 SE LAKE RD STE 155, PORTLAND, OR 97222-2137
(503) 447-3285
(503) 917-4971
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
02/05/2026
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