Evan Willow, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6280 Issued in OR

Practice address

240 NW Claypool St
Prineville, OR 97754-1842

Phone

(541) 447-6627

NPI assigned

Jan 5, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cascade Living LLCGroup PAC ID 1557716180, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cascade Living LLC

  • Chiropractor
  • Prineville, OR
  • NPI 1538119805
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1083327951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 NW CLAYPOOL ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541842",
            "telephone_number": "541-447-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 NW CLAYPOOL ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541842",
            "telephone_number": "541-447-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOW",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara M Weber, PT
• Nicholas Whelan
• Teryn Wiens, PT, DPT
• Joshua Wilhelmi, FNP
• Bruce N Williams, MD
• Abigail Wirthlin, FNP
• Heidi Wissing
• Rosa Wolfe, CADC R
• Barrett Jereme Woodhall, MD
• Cynthia Margaret Wunder

• Chiropractor in Prineville, OR
• Providers in Prineville, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.