MRS. EVONNE MARIA KANDAS


Address: 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900
Phone: 5034138654

MRS. EVONNE MARIA KANDAS (NPI# 1689677445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689677445
Entity Type Individual
Full Name MRS. EVONNE MARIA KANDAS
Other Name EVONNE MARIA ANASIS
Credential N.P.
Practice Address 1130 Nw 22nd Ave
Suite 110
Portland
OR 97210-2900
Practice Telephone 5034138654
Practice Fax Number 5034138655
Mailing Telephone 5034138654
Mailing Fax Number 5034138655
Enumeration Date 2005-05-24
Last Update Date 2017-04-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
089000443N7 OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 268963 05
WA 2006647 05

Office Location

Street Address 1130 NW 22ND AVE
SUITE 110
City PORTLAND
State OR
Zip Code 97210-2900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346756269 Erin P O'hollaren Registered Nurse 1130 Nw 22nd Ave, Portland, OR 97210-2900 2017-12-15
1366967879 Vladimir Nikolayevich Chernyshev Licensed Practical Nurse 1130 Nw 22nd Ave, Portland, OR 97210-2900 2017-08-04
1659802650 Paula J. Staab Dietitian, Registered 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 2017-03-22
1447604566 Lori Eckel Social Worker 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 2016-04-14
1245660414 Margarita Damaso-sahari Nurse Practitioner 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 2013-11-25
1932464492 Complete Anesthesia Care LLC Nurse Anesthetist, Certified Registered 1130 Nw 22nd Ave, Suite 615, Portland, OR 97210-2900 2012-07-11
1033478409 Megan N Stack Nurse Practitioner 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 2012-05-04
1730455304 Nancy M Oswald Social Worker 1130 Nw 22nd Ave, Suite 345, Portland, OR 97210-2900 2012-03-28
1992090112 Onyekachi Ogbonna Internal Medicine 1130 Nw 22nd Ave, Portland, OR 97210-2900 2011-06-15
1386935609 Carmen M Doom Obstetrics & Gynecology 1130 Nw 22nd Ave, Suite 520, Portland, OR 97210 2011-04-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679109086 Joseph Francolino Massage Therapist 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 2020-03-17
1215574058 Northwest Dbt LLC Psychologist 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
1649769480 Dipesh Patel Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 2018-05-08
1760987234 Meghan Teague Student in an Organized Health Care Education/Training Program Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 2018-03-27
1205349172 Paul M Storm Acupuncturist 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 2017-11-14
1740703750 Audra K Berning Massage Therapist 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 2017-07-21
1720539810 Anna-marie Elizabeth Wood Audiologist 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 2016-10-24
1659829836 H&s Pearl, LLC Massage Therapist 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 2016-09-15
1255785796 Cortez Natural Medicine, Inc. Acupuncturist 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 2016-04-21
1932563616 Vincent Chen Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 2016-04-08
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760043673 Tracy Lee Stevens Nurse Practitioner 2222 Ne 130th Ave, Portland, OR 97230-1705 2019-06-23
1982837019 Bronwyn Elizabeth Sewell Nurse Practitioner 443 Congress St Fl 2, Portland, ME 04101-3531 2009-08-24
1992831192 Soledad Grefnes Iniguez Nurse Practitioner 3181 Sw Sam Jackson Park Rd # Uhs29, Portland, OR 97239-3011 2007-02-24
1841363744 Susan Wells Nurse Practitioner 1723 Sw Martha St, Portland, OR 97239-2715 2006-11-16
1255414223 Kyle Bell Mcavoy Nurse Practitioner 120 Nw 14th Ave., Suite 200, Portland, OR 97409 2006-10-23
1043303902 Sheryl Lynne Horwitz Nurse Practitioner 2701 Nw Vaughn St Ste 205, Portland, OR 97210-5352 2006-10-02
1720033384 Carol Mccready Nurse Practitioner 970 Forest Ave, Portland, ME 04103-3331 2006-05-23
1194251637 Natalie Ann Mohler Nurse Practitioner 501 N Graham St Ste 550, Portland, OR 97227-2010 2017-05-03
1194274274 Linda Anzalone Nurse Practitioner 1608 Se Ankeny St, Portland, OR 97214-1448 2016-09-29
1629423306 Whitney Shaw Williams Nurse Practitioner 443 Congress St Fl 2, Portland, ME 04101-3531 2016-04-29
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Competitor

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City PORTLAND
Zip Code 97210

Improve Information

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Dataset Information

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.

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