Individual
CARLIN EVANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 E 33RD ST STE 100, VANCOUVER, WA 98663-2776
(360) 514-7550
(360) 514-7553
Mailing address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
06-772-P
AK
363A00000X
Physician Assistant
2301
AK
363A00000X
Physician Assistant
Primary
PA60747576
WA
Other
Enumeration date
12/03/2013
Last updated
02/17/2021
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