Individual
MS. JANE MARY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 661-5455
Mailing address
6442 NE ALBERTA ST, PORTLAND, OR 97218-3120
(503) 335-2701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
OR
Other
Enumeration date
02/01/2007
Last updated
02/13/2008
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