Individual
EVAN ROGER JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
3400 STATE ST STE G704, SALEM, OR 97301-5105
(503) 378-7434
(503) 362-2703
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0701
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0328449
WA L&I
OR
05
—
197715
—
OR
Enumeration date
11/25/2005
Last updated
09/16/2014
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