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NPI Code Detail

MEDICARE: MR. SAMUEL AARON EVANS TODAHL DNP, FNP-BC

MEDICARE: MR. SAMUEL AARON EVANS TODAHL DNP, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC1500XCommunity Health Registered NurseRN-115029HI

General Provider Information

NPI Number : 1053245472
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SAMUEL AARON EVANS TODAHL DNP, FNP-BC
Provider Business Mailing Address
First Line : 1645 CHASA ST
Second Line :
City : EUGENE
State : OR
Zip : 97401-1914
Country : US
Telephone Number : 541-520-0226
Fax Number :
Provider Business Practice Location Address
First Line : 8720 14TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-4807
Country : US
Telephone Number : 206-762-3730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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