Individual
JOHN RICHARD EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1959 NE PACIFIC ST, B241 HSB, SEATTLE, WA 98195-7134
(206) 534-7722
(206) 685-7222
Mailing address
1959 NE PACIFIC ST, BOX 357131, SEATTLE, WA 98195-7131
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00004613
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175769
L&I
WA
05
—
5030838
—
WA
Enumeration date
10/12/2006
Last updated
03/26/2026
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