Individual
ANGELA EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10763 SW GREENBURG RD STE 100, TIGARD, OR 97223-5492
(971) 684-8159
Mailing address
10763 SW GREENBURG RD STE 100, TIGARD, OR 97223-5492
(971) 684-8159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-1702
OR
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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