Individual
DR. JONATHAN WALLACE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1276
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1276
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
43700
OR
207X00000X
Orthopaedic Surgery Physician
5101015261
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274339
—
OR
01
—
P00626446
MEDICARE RAILROAD
OR
01
—
R138023
MEDICARE PART B
OR
Enumeration date
02/22/2007
Last updated
06/26/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us