Individual
DR. KEVIN DJ EWANCHYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1282
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20353
OR
Other
Enumeration date
06/16/2006
Last updated
11/15/2023
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