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General NPI Number Information
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NPI Number | 1710821624
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Entity Type | Organization
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Legal Business Name | EVERGREEN VASCULAR CONSULTANTS
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 1200 GATEWAY LOOP
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City | SPRINGFIELD
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State | OR
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Zip | 97477-1176
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Country | US
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Telephone | 541-933-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 2191 CARRIAGE DR
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City | EUGENE
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State | OR
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Zip | 97408-7537
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Country | US
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Telephone | 510-207-7129
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDER DABROWIECKI
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Credential | MD
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Telephone | 510-207-7129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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