Individual provider Active NPI

Cameron J Evans, MD

  • Diagnostic Radiology Physician
  • Kelso, WA
National Provider Identifier
1477733574
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD61582833 Issued in WA
Practice address
700 Lincoln St Ste 100
Kelso, WA 98626-1062
Phone
(360) 425-5131
Fax
(360) 425-5509
NPI assigned
Nov 6, 2007
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M-11252 ID
Diagnostic Radiology Physician 2085R0202X 6351865-8905 UT
Diagnostic Radiology Physician 2085R0202X MD61582833 WA Primary

Addresses

Primary practice location

700 Lincoln St Ste 100
Kelso, WA 98626-1062

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2222

Other practice location 1

910 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 736-0200

Other practice location 2

4121 N 2600 E
Filer, ID 83328-5155
Phone (801) 641-4323

Other practice location 3

801 Pole Line Rd W
Twin Falls, ID 83301-5799
Phone (208) 814-1500

Other identifiers 1

IdentifierTypeStateIssuer
1477733574MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID, WY, OR, WA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20110124000511 UT Practitioner - Diagnostic Radiology 5496934416 Reassigns benefits to 1 organization
I20110728000616 ID Practitioner - Diagnostic Radiology 5496934416 Reassigns benefits to 4 organizations
I20200406001514 WY Practitioner - Diagnostic Radiology 5496934416
I20200824002767 OR Practitioner - Diagnostic Radiology 5496934416 Reassigns benefits to 2 organizations
I20241029002801 WA Practitioner - Diagnostic Radiology 5496934416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates PCGroup PAC ID 2567364847, 25 clinicians
Oregon Imaging Centers LLCGroup PAC ID 7416859749, 27 clinicians
Innovative Medical Imaging PLLCGroup PAC ID 1951711050, 23 clinicians

Practice addresses (Care Compare)

1200 Hilyard St
Suite 330
Eugene, OR 97401-8110
Phone (541) 687-7134

4121 N 2600
Filer, ID 83328-5155
Phone (541) 334-7555

512 Pole Line Rd
Suite 1
Twin Falls, ID 83301-6367
Phone (208) 735-5555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.45 of 100Reported as group
Quality
92.91
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6351865-8905UTMDDiagnostic Radiology Physician
MD61582833WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Imaging Centers, L.L.C. Diagnostic Radiology CurrentSince Nov 21, 2023 Accepting new patients
Uintah Basin Medical Center CurrentSince Apr 3, 2024 Accepting new patients
Peacehealth CurrentSince Oct 16, 2024 Accepting new patients
Radiology Associates PC Diagnostic Radiology CurrentSince Nov 21, 2023 Accepting new patients
Uintah Basin Medical Center CurrentSince Apr 3, 2024 Accepting new patients
Mid Rogue Imaging Center CurrentSince Jun 1, 2024 Accepting new patients
Peacehealth CurrentSince Oct 16, 2024 Accepting new patients

Locations

1200 Hilyard St
Ste 330
Eugene, OR 97401
Phone (541) 302-7771

1255 Hilyard St
Eugene, OR 97401
Phone (503) 686-7300

3377 Riverbend Dr
Ste 150
Springfield, OR 97477
Phone (541) 222-6000

250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691

910 S Scheuber Rd
Centralia, WA 98531
Phone (360) 736-0200

700 Lincoln St
Ste 100
Kelso, WA 98626
Phone (360) 425-5131

5400 MacArthur Blvd
Vancouver, WA 98661
Phone (360) 696-5100

Organizations & group practices 9

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1477733574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LINCOLN ST STE 100",
            "city": "KELSO",
            "state": "WA",
            "postal_code": "986261062",
            "telephone_number": "360-425-5131",
            "fax_number": "360-425-5509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 S Scheuber Rd",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985319027",
            "country_code": "US",
            "telephone_number": "360-736-0200",
            "fax_number": "360-736-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4121 N 2600 E",
            "address_purpose": "LOCATION",
            "city": "Filer",
            "state": "ID",
            "postal_code": "833285155",
            "country_code": "US",
            "telephone_number": "801-641-4323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Pole Line Rd W",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015799",
            "country_code": "US",
            "telephone_number": "208-814-1500",
            "fax_number": "208-814-1938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CAMERON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-11252",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "6351865-8905",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD61582833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477733574",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kelso, WA

Sources for this page

Verify at the official NPI Registry.