Madeline Evans

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

10178388 Issued in OR

Practice address

6300 SW Nicol Rd
Portland, OR 97223-7599

Phone

(503) 246-7771

NPI assigned

Jul 4, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1447746276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 SW SHARON LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252057",
            "telephone_number": "503-703-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 SW NICOL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972237599",
            "telephone_number": "503-246-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24076 SE Stark St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970303376",
            "country_code": "US",
            "telephone_number": "503-491-1666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1698 SW Cherry Park Rd",
            "address_purpose": "LOCATION",
            "city": "Troutdale",
            "state": "OR",
            "postal_code": "970601481",
            "country_code": "US",
            "telephone_number": "503-667-3186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MADELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-04",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OR",
            "license": "10178388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Evans
• Katherine Evans, LMT
• Katherine L Evans, RN
• Lacey Evans, APRN
• Laura Evans
• Madeline Danielle Evans, MD
• Matthew Michael Evans, DO
• Melissa Evans
• Miara Danae Evans
• Michael B Evans

• Athletic Trainer in Portland, OR
• Providers in Portland, OR by specialty
• Athletic Trainer in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.