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Dr. Evan Wollen, OD
Student in an Organized Health Care Education/Training Program in Forest Grove, Oregon
NPI 1639421977

Evan Wollen is a Student in an Organized Health Care Education/Training Program based in Forest Grove, OR. Evan Wollen practices in Forest Grove, OR and has the professional credentials of OD. The NPI Number for Evan Wollen is 1639421977 and holds a License No. (Oregon).

The current practice location address for Evan Wollen is 2210 C St Apt 5, Forest Grove, OR and can be reached out via phone at 503-443-9285.

Location: 2210 C St Apt 5, Forest Grove, OR, 97116-1654
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639421977
Provider Name
Evan Wollen
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
2210 C St Apt 5, Forest Grove, OR, 97116-1654
Phone Number
503-443-9285
Fax Number
Provider Enumeration Date
10/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2210 C St Apt 5
City
Forest Grove
State
Oregon
Zip
97116-1654
Phone Number
503-443-9285
Fax Number
person
Provider Business Mailing Address Details
Address
2210 C St Apt 5
City
Forest Grove
State
Oregon
Zip
97116-1654
Phone Number
503-443-9285
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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