Individual
EVAN INGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8311
Mailing address
401 NE 127TH AVE, PORTLAND, OR 97230-2412
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
202002338RN
OR
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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