Individual
AMELIA SARAH EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3036 NE MLK JR BLVD, PORTLAND, OR 97212-3053
(503) 889-2500
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A107979
CA
207Q00000X
Family Medicine Physician
Primary
MD152661
OR
Other
Enumeration date
06/09/2009
Last updated
05/06/2021
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