Individual
KYLE LUCAN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
2411 MLK JR BLVD, EUGENE, OR 97401-5824
(541) 682-3550
(541) 682-9861
Mailing address
2411 MLK JR BLVD, EUGENE, OR 97401-5824
(541) 682-3550
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
05/12/2022
Last updated
07/14/2022
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