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General NPI Number Information
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NPI Number | 1528267226
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Entity Type | Individual
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Provider Name | STEPHANIE JOANN EVANS MD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 10100 SE SUNNYSIDE RD
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City | CLACKAMAS
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State | OR
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Zip | 97015-8970
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Country | US
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Telephone | 800-813-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 500 NE MULTNOMAH ST FL 11
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City | PORTLAND
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State | OR
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Zip | 97232-2023
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A106884
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD190973
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License Number State | OR
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