Corey Evans
Adult Companion in Portland, OR. Individual provider (NPI-1).
NPI number1083007488
StatusActive
Last updated in NPPESMar 9, 2015
Details
- NPI
- 1083007488
- Entity type
- Individual (NPI-1)
- Name
- Corey Evans
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2015
- Last updated
- Mar 9, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
Practice location
847 Ne 19th Ave100
Portland, OR 97232-2684
Phone 503-238-0769
Mailing address
Po Box 8459Portland, OR 97207-8459
Phone 503-238-0769
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 864 Adult Companion providers in Portland · All 48,847 providers in Portland
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