Individual
DR. CAMERON J EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 LINCOLN ST STE 100, KELSO, WA 98626-1062
(360) 425-5131
(360) 425-5509
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
6351865-8905
UT
2085R0202X
Diagnostic Radiology Physician
Primary
MD61582833
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477733574
—
ID
Enumeration date
11/06/2007
Last updated
10/23/2024
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