Individual
DR. EVAN WOLLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2210 C ST APT 5, FOREST GROVE, OR 97116-1654
(503) 443-9285
Mailing address
2210 C ST APT 5, FOREST GROVE, OR 97116-1654
(503) 443-9285
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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