CAROLINE EVANADO


Address: 39 Ne 102nd Ave, Portland, OR 97220-4103
Phone: 5032522461

CAROLINE EVANADO (NPI# 1740508431) 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) 1740508431
Entity Type Individual
Full Name CAROLINE EVANADO
Credential NP
Practice Address 39 Ne 102nd Ave
Portland
OR 97220-4103
Practice Telephone 5032522461
Enumeration Date 2010-05-06
Last Update Date 2020-08-29
NPI Deactivation Date 11/06/2018
NPI Reactivation Date 2019-06-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 227900000X Respiratory Therapist, Registered Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 363L00000X Nurse Practitioner 202006959NP-PP OR Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
10180 Se Sunnyside Rd, Clackamas, OR 970158970 5036522880

Office Location

Street Address 39 NE 102ND AVE
City PORTLAND
State OR
Zip Code 97220-4103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598752420 Gateway,inc. Skilled Nursing Facility 39 Ne 102nd Ave, Portland, OR 97220-4103 2005-10-05
1710405238 Natalie Jo Ellis Physical Therapist 39 Ne 102nd Ave, Portland, OR 97220-4103 2017-09-05
1245772706 Logan Gaehler Occupational Therapist 39 Ne 102nd Ave, Portland, OR 97220-4103 2016-11-14
1225445364 Sapphire At Gateway LLC Skilled Nursing Facility 39 Ne 102nd Ave, Portland, OR 97220-4103 2014-07-22
1154604056 Justin Philips Physical Therapist 39 Ne 102nd Ave, Portland, OR 97220-4103 2011-09-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316569254 Debra Shamblin Behavioral Analyst 150 Ne 100th Ave, Portland, OR 97220 2020-05-14
1336780618 Joan Lambert Technician 2802 Ne 108th Avenue, Portland, OR 97220 2019-10-08
1750933917 Multnomah County Clinic/Center 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 2019-07-09
1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1487178711 Andrew Shonk Massage Therapist 163 Ne 102nd Ave Blid V, Portland, OR 97220 2017-07-28
1548781693 Greater New Hope Family Services Lodging 11868 Ne Sandy Blvd, Portland, OR 97220 2017-06-29
1245771740 Maria Teresa Banez Salcedo Registered Nurse 10300 Ne Hancock Street, Portland, OR 97220 2017-03-16
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1962945956 Linda Ann Oldenburg Registered Nurse 9515 Ne Skidmore Avenue, Portland, OR 97220 2016-11-23
1326493446 Trent D. Wilson Massage Therapist 8401 Ne Halsey St., Suite 101, Portland, OR 97220 2016-04-26
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
1427537844 Mardin Sabah Sabir Nurse Practitioner 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 2018-08-07
1174039325 Gina Nicole Dasilva Nurse Practitioner 50 County Way, Portland, ME 04102-2755 2017-12-26
1609396746 Maggie Michele Sexton Nurse Practitioner 2311 Nw Northrup St Ste 100, Portland, OR 97210-2912 2017-06-20
1295185585 Stephanie Lynn Hart Nurse Practitioner 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 2016-06-16
1134585268 Kathleen Klunk Nurse Practitioner 1400 Ne Alberta St, Portland, OR 97211-5044 2016-01-05
1427447143 At Home Primary Care LLC. Nurse Practitioner 6400 Se Lake Rd # 420, Portland, OR 97222-2129 2015-01-19
1053753921 Frederick Donald Watters Nurse Practitioner 66 Sherman St Apt 3, Portland, ME 04101 2013-07-22
1881033439 Nicole M Baxter Nurse Practitioner 2187 Sw Main St Ste 101, Portland, OR 97205-1123 2013-06-17
1780937607 Erika Kristine De La Garza Nurse Practitioner 1702 Hwy. 181 North, Portland, TX 78374 2012-10-16
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97220

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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