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Individual

SCOTT EVANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
650 COLLEGE BLVD, ONTARIO, OR 97914-3423
(541) 881-8822
Mailing address
543 W IDAHO AVE, ONTARIO, OR 97914-2348

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
204311
OR

Other

Enumeration date
01/15/2015
Last updated
01/15/2015
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