Willamette General & Colon-Rectal Surgery PC

NPI #1396736518 in Tualatin, Oregon

Provider Information

NPI Number: 1396736518
Entity Type: Organization
Organization Name: Willamette General & Colon-Rectal Surgery PC
Primary Specialty: Specialist
Enumeration Date: Nov 4, 2005
Last Updated: Sep 9, 2014

Practice Location

Address: 19875 SW 65TH AVE
Address 2: SUITE 260
City: Tualatin
State: Oregon
ZIP Code: 97062-8353
Phone: (503) 691-1743

Authorized Official

Name: DR. BRENT K EVETTS, M.D.
Title: OWNER/PHYSICIAN
Phone: (503) 691-1743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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