MEDICARE: EVANA CARE LLC

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
1	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1073465464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVANA CARE LLC

Provider Business Mailing Address
First Line	:	10772 SE 99TH DR
Second Line	:
City	:	HAPPY VALLEY
State	:	OR
Zip	:	97086-7269
Country	:	US
Telephone Number	:	206-765-9016
Fax Number	:

Provider Business Practice Location Address
First Line	:	10772 SE 99TH DR
Second Line	:
City	:	HAPPY VALLEY
State	:	OR
Zip	:	97086-7269
Country	:	US
Telephone Number	:	206-765-9016
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/ADMINISTRATOR
Name	:	BETELIHEM NEKIR YERGA
Credential	:
Telephone Number	:	206-765-9016

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “EVANA CARE LLC ” Practice Location

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