Evan Dean, REGISTERED NURSE

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

201501092RN Issued in OR

Practice address

1820 SE 50TH Ave
Portland, OR 97215-3236

Phone

(503) 975-6444

NPI assigned

May 12, 2017

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

Other identifiers 1

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1487181004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SE 50TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153236",
            "telephone_number": "503-975-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SE 50TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972153236",
            "telephone_number": "503-975-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "EVAN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "201501092RN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201501092RN",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Joy Dean, RN
• Dylan Martin Dean, M.D.,PH.D.
• Eliona E Dean
• Emily Dean
• Erika Ryn Dean, LMT
• Haley E Dean, MD
• Isabella Dean
• Jamie Dean
• Justin Dean, PHARMD
• Justin Wade Dean, D.C.

• Community Health Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.