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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 268963 | 05 | |
WA | 2006647 | 05 |
Street Address |
1130 NW 22ND AVE SUITE 110 |
City | PORTLAND |
State | OR |
Zip Code | 97210-2900 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 97210 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
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 |
Find all providers in PORTLAND |
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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.