MEDICARE: DR. RICHARD (NONE) EVANS III RICHARD EVANS

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	2084P0800X	Psychiatry Physician	006168	ME

General Provider Information

NPI Number	:	1730462797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD (NONE) EVANS III RICHARD EVANS

Provider Business Mailing Address
First Line	:	184 BAY RD
Second Line	:
City	:	BOWDOINHAM
State	:	ME
Zip	:	04008-4010
Country	:	US
Telephone Number	:	207-666-3927
Fax Number	:

Provider Business Practice Location Address
First Line	:	184 BAY RD
Second Line	:
City	:	BOWDOINHAM
State	:	ME
Zip	:	04008-4010
Country	:	US
Telephone Number	:	207-666-3927
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2011
Last Update Date	:	03/08/2026

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