MEDICARE: EVANGELINE HEALY

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	101YM0800X	Mental Health Counselor	159946	CA

General Provider Information

NPI Number	:	1801726955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVANGELINE HEALY

Provider Business Mailing Address
First Line	:	403 PORTWAY AVE STE 300
Second Line	:
City	:	HOOD RIVER
State	:	OR
Zip	:	97031-1109
Country	:	US
Telephone Number	:	541-224-6837
Fax Number	:

Provider Business Practice Location Address
First Line	:	403 PORTWAY AVE STE 300
Second Line	:
City	:	HOOD RIVER
State	:	OR
Zip	:	97031-1109
Country	:	US
Telephone Number	:	541-224-6837
Fax Number	:

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

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/22/2026

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Directions to “ EVANGELINE HEALY ” Practice Location

Language	Start Address	Practice Location

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