Active NPI
Evan Gurley
- Mental Health Counselor
- Beaverton, OR
National Provider Identifier
1407668023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R10658
- Practice address
- 3800 SW Cedar Hills Blvd Ste 280B
Beaverton, OR 97005-2039 - Phone
- (503) 433-9133
- NPI assigned
- Jan 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | R10658 | OR | Primary |
Addresses
Primary practice location
3800 SW Cedar Hills Blvd Ste 280B
Beaverton, OR 97005-2039
Mailing address
125 NW 20TH PL Apt 7
Portland, OR 97209-1032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R10658 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1407668023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 NW 20TH PL APT 7",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972091032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 SW CEDAR HILLS BLVD STE 280B",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052039",
"telephone_number": "503-433-9133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURLEY",
"first_name": "EVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-21",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "R10658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.