Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | MD200817 | OR |
NPI | 1194090456 |
---|---|
Provider Name | Dr. Patrick David Evers |
First Address | Portland, OR 97239-3079 |
Second Address | Portland, OR 97239-3079 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2012 |
Last Update Date | 30/06/2020 |