Individual
DR. PATRICK J EVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2408 NE DIVISION ST, BEND, OR 97701-3543
(541) 382-7521
(541) 382-6297
Mailing address
61161 RIDGE FALLS PL, BEND, OR 97702-2324
(541) 382-7521
(541) 382-6297
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00128
OR
213ES0000X
Sports Medicine Podiatrist
DP00128
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
DP00128
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13535
CLEAR CHOICE/COIHS
OR
05
—
217489
—
OR
01
—
R00WFBFKA
MEDICARE
OR
Enumeration date
12/05/2005
Last updated
02/05/2008
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