Individual
MRS. EVONNE MARIA KANDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1130 NW 22ND AVE, SUITE 110, PORTLAND, OR 97210-2900
(503) 413-8654
(503) 413-8655
Mailing address
1130 NW 22ND AVE, SUITE 110, PORTLAND, OR 97210-2900
(503) 413-8654
(503) 413-8655
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
089000443N7
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006647
—
WA
05
—
268963
—
OR
Enumeration date
05/24/2005
Last updated
04/21/2017
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