Individual
DR. CODY J EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2651 NW THURMAN ST, SUITE 101, PORTLAND, OR 97210-2326
(503) 954-2403
(503) 946-1156
Mailing address
2651 NW THURMAN ST, SUITE 101, PORTLAND, OR 97210-2326
(503) 954-2403
(503) 946-1156
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD28394
OR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD28394
OR
Other
Enumeration date
05/10/2007
Last updated
01/13/2016
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