BLAKE ALEXANDER EVANS
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation
Provider Information
- NPI Number
1285365734- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 400 HICKORY ST NW, ALBANY, OR, 973211700
- Phone
- (541) 812-5840
Specialties & Taxonomies
Physical Medicine & Rehabilitation
Primary License: OR #64405
All Addresses
MAILING
PO BOX 1188
CORVALLIS, OR, 973391188