Organization
DR KATIE EVANS INC
Active
Other names
EVANS & SULLIVAN
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATIE EVANS KELLEY PHD, CDP, RC, NCACII (TREATMENT DIRECTOR CEO)
(503) 756-6117
Entity
Organization
Contact information
Practice address
19943 SW JETTE LN, BEAVERTON, OR 97006-2789
(503) 756-6117
(503) 524-3778
Mailing address
19943 SW JETTE LN, BEAVERTON, OR 97006-2789
(503) 756-6117
(503) 524-3778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
860106
OR
101YP2500X
Professional Counselor
Primary
CP00004591
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001152747
MHN SERVICES
—
01
—
100000012349
REGENCE
OR
01
—
1615-01
PBH
—
01
—
283365
MULTIPLAN
OR
01
—
3006890
REGENCE BLUECROSS BLUESHIELD OF OREGON
OR
01
—
669401100000
LIFEWISE
OR
Enumeration date
02/25/2008
Last updated
10/07/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us