Organization
EVOLUTION HEALTHCARE, REHAB., & FITNESS
Active
Other names
Evolution Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD FARRA DC (OWNER)
(503) 975-6566
Entity
Organization
Contact information
Practice address
2332 NW IRVING ST, PORTLAND, OR 97210-3225
(503) 222-1865
Mailing address
4279 SE HARVEY ST, MILWAUKIE, OR 97222-5816
(503) 975-6566
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
3851
OR
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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