EVOLUTION HEALTHCARE – NPI #1730596511
Clinic/Center

EVOLUTION HEALTHCARE is an AHC clinic located in PORTLAND, OR. NPPES has assigned the NPI number 1730596511 to EVOLUTION HEALTHCARE on July 14, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EVOLUTION HEALTHCARE” is a dba name, the actual legal business name for this organization is EVOLUTION HEALTHCARE, REHAB., & FITNESS. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVOLUTION HEALTHCARE below.

NPI Profile for
EVOLUTION HEALTHCARE, REHAB., & FITNESS

NPI Number
1730596511
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVOLUTION HEALTHCARE, REHAB., & FITNESS
Doing Business As (dba): EVOLUTION HEALTHCARE
Primary location
2332 NW IRVING ST
PORTLAND, OR 97210-3225
Phone: (503) 222-1865 Fax:
Mailing address
4279 SE HARVEY ST
MILWAUKIE, OR 97222-5816
Phone: (503) 975-6566 Fax:
Organization Subpart
No
Authorized Official
BRAD FARRA
OWNER
Phone: (503) 975-6566
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)
OR 3851

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.