Organization
NORTHWEST IV, LLC
Active
Other names
Evolve Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PERRY (MANAGING DIRECTOR)
(503) 447-3285
Entity
Organization
Contact information
Practice address
8285 W ARBY AVE STE 200, LAS VEGAS, NV 89113-2236
(971) 358-9292
Mailing address
6400 SE LAKE RD STE 155, PORTLAND, OR 97222-2137
(971) 358-9292
(503) 917-4971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/01/2021
Last updated
02/05/2026
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