Active NPI
Pamela Kay Evans, MS, RD, LD
- Registered Dietitian
- Portland, OR
National Provider Identifier
1437445889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 859
- Practice address
- 1040 NW 22ND Ave
Suite 520
Portland, OR 97210-3057 - Phone
- (503) 413-7557
- Fax
- (503) 413-6547
- NPI assigned
- Jun 23, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 859 | OR | Primary |
Addresses
Primary practice location
1040 NW 22ND Ave
Suite 520
Portland, OR 97210-3057
Mailing address
PO Box 3808
Portland, OR 97208-3808
Phone (503) 413-3900
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 859 | OR | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1437445889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3808",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083808",
"telephone_number": "503-413-3900",
"fax_number": "503-413-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 NW 22ND AVE",
"address_2": "SUITE 520",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103057",
"telephone_number": "503-413-7557",
"fax_number": "503-413-6547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "PAMELA",
"middle_name": "KAY",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-23",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.