Individual
CAITLIN JEANNE THERESE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
2327 SW 4TH AVE, ONTARIO, OR 97914-1851
(541) 889-2340
(541) 889-2593
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-2679
ID
363A00000X
Physician Assistant
Primary
PA217184
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500830441
—
OR
Enumeration date
04/27/2021
Last updated
01/13/2026
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