BRENT K EVETTS (NPI# 1538291547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538291547 |
| Entity Type | Individual |
| Full Name | BRENT K EVETTS |
| Credential | M.D. |
| Practice Address |
19875 Sw 65th Ave Suite 260 Tualatin OR 97062-8353 |
| Practice Telephone | 5036911743 |
| Practice Fax Number | 5036910983 |
| Mailing Telephone | 5036911743 |
| Mailing Fax Number | 5036910983 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2010-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD20653 | OR | Other Service Providers |
| Y | 208600000X | Surgery | MD20653 | OR | Allopathic & Osteopathic Physicians |
| N | 208C00000X | Colon & Rectal Surgery | MD20653 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 150330 | 05 |
| Street Address |
19875 SW 65TH AVE SUITE 260 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-8353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285170 | James B Schader | Specialist | 19875 Sw 65th Ave, Suite 201, Tualatin, OR 97062-8353 | 2005-06-13 |
| 1134579212 | Nancy Summers | Registered Nurse | 19875 Sw 65th Ave, Suite 100, Tualatin, OR 97062-8353 | 2016-06-20 |
| 1801257324 | Ryan Wargo | Pharmacist | 19875 Sw 65th Ave, Suite 100, Tualatin, OR 97062-8353 | 2016-03-10 |
| 1164740817 | Elizabeth Anne Reding | Internal Medicine | 19875 Sw 65th Ave, Suite 100, Tualatin, OR 97062-8353 | 2010-05-05 |
| 1134385461 | Warren Ikpomosa Okuns | Family Medicine | 19875 Sw 65th Ave, Suite 100, Tualatin, OR 97062-8353 | 2008-08-06 |
| 1871789024 | Jenny Nordeen | Family Medicine | 19875 Sw 65th Ave, Ste. 100, Tualatin, OR 97062-8353 | 2007-09-21 |
| 1275738783 | Elizabeth Flores | Family Medicine | 19875 Sw 65th Ave, Tualatin, OR 97062-8353 | 2007-06-15 |
| 1356474910 | Patrick G Mcbee | Specialist | 19875 Sw 65th Ave, Suite 260, Tualatin, OR 97062-8353 | 2007-03-13 |
| 1508999152 | Paul A Klas | Dermatology | 19875 Sw 65th Ave, Suite 260, Tualatin, OR 97062-8353 | 2007-03-13 |
| 1639201635 | Chong C Chang | Specialist | 19875 Sw 65th Ave, Suite 260, Tualatin, OR 97062-8353 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205811890 | James Patrick Craven | Surgery | 19250 Sw 65th Ave Ste 240, Tualatin, OR 97062-7745 | 2005-12-07 |
| 1154989259 | Nathan A Kemalyan Md Facs | Surgery | 6485 Sw Borland Rd Ste B, Tualatin, OR 97062-9762 | 2019-06-04 |
| 1104182781 | Heather Ann Nelson Zarour | Surgery | 19250 Sw 65th Ave Ste 240, Tualatin, OR 97062-7745 | 2012-04-08 |
| 1316030927 | Nathan Arthur Kemalyan | Surgery | 6485 Sw Borland Rd, Ste B, Tualatin, OR 97062-9762 | 2006-10-02 |
| 1790760387 | Andrew Benjamin Cramer | Surgery | 19250 Sw 65th Ave Ste 240, Tualatin, OR 97062-7745 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386168029 | Northwest Minimally Invasive Surgery, LLC | Surgery | 2222 Nw Lovejoy St Ste 322, Portland, OR 97210-5101 | 2017-08-02 |
| 1366897399 | Andreas Hennig | Surgery | 783 Nw Naito Pkwy Apt 502, Portland, OR 97209-4755 | 2016-04-27 |
| 1366809048 | Mid-columbia Medical Center | Surgery | 1810 E. 19th St. #225, The Dalles, OR 97058 | 2016-01-26 |
| 1972983781 | Horizon Surgery Clinic | Surgery | 6542 Se Lake Rd Ste 101, Milwaukie, OR 97222-2245 | 2015-06-05 |
| 1871989467 | Cameron Cangelose | Surgery | 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239-3098 | 2015-04-09 |
| 1396157962 | Fernando Leon | Surgery | 2221 Sw First Ave Apt 2322, Portland, OR 97201-5023 | 2014-05-29 |
| 1114337466 | Thomas B Knowles | Surgery | 1130 Nw 22nd Ave Ste 500, Portland, OR 97210-2976 | 2014-05-07 |
| 1861811770 | Peter Andrew Sweeny | Surgery | 705 Elm St Sw Ste 300, Albany, OR 97321-1958 | 2014-04-08 |
| 1811310063 | George Craig Merhoff Sr. | Surgery | 6090 Sunset Ridge Rd, Klamath Falls, OR 97601-9386 | 2014-01-23 |
| 1659714160 | Sean Tyler Watters | Surgery | 5050 Ne Hoyt St Ste 651, Portland, OR 97213 | 2013-04-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.