DR. ROY CLARK EVANS (NPI# 1609911304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609911304 |
| Entity Type | Individual |
| Full Name | DR. ROY CLARK EVANS |
| Credential | D.C. |
| Practice Address |
1217 4th Ave E Suite 200 Olympia WA 98506-4246 |
| Mailing Address |
1709 State Ave Ne Suite 200 Olympia WA 98506-4556 |
| Practice Telephone | 3605708151 |
| Practice Fax Number | 3609436602 |
| Mailing Telephone | 3605708151 |
| Mailing Fax Number | 3609436602 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2016-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH2803 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE | EV5391 | 01 |
| WA | CIGNA | 0292244 | 01 |
| WA | AETNA | 2579480 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952465619 | Roy D Evans | Family Medicine | 4297 Highway 42, Bassfield, MS 39421-4424 | 2006-12-20 |
| 1578583209 | Roy Lee Evans Jr. | Nurse Practitioner | 2155 W Pinnacle Peak Rd, Suite 201, Phoenix, AZ 85027 | 2006-07-19 |
| 1609177955 | Roy M. Evans | Social Worker | 2615 Edwards St, Alton, IL 62002-3915 | 2010-11-03 |
| 1982626305 | Roy A Evans | Counselor | 85 Sangers Ln, Staunton, VA 24401-6712 | 2006-07-24 |
| Street Address |
1217 4TH AVE E SUITE 200 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043320492 | Joseph David Byus | Chiropractor | 1217 4th Ave E, #200, Olympia, WA 98506-4246 | 2006-08-30 |
| 1003956962 | Glen Erickson | Massage Therapist | 1217 4th Ave E, Suite 200, Olympia, WA 98506-4246 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416538 | Robert Martinez Molato | Chiropractor | 5106 Donnelly Dr Se, Olympia, WA 98501-5012 | 2020-10-26 |
| 1316411028 | Jonathan Holmes | Chiropractor | 822 Sleater Kinney Rd Ne, Olympia, WA 98506-5271 | 2019-01-15 |
| 1851869960 | Adam Douglas Trachsel | Chiropractor | 2627 Capital Mall Dr Sw Ste 3a, Olympia, WA 98502-8616 | 2018-11-06 |
| 1881160208 | Leslie Paul Ling | Chiropractor | 916 Giles Ave Nw, Olympia, WA 98502-4815 | 2018-10-23 |
| 1326555020 | Emma L Swartling | Chiropractor | 2335 Mayes Rd Se, Olympia, WA 98503-3414 | 2018-01-03 |
| 1780138727 | Ari Anthony | Chiropractor | 7306 Puget Beach Rd Ne, Olympia, WA 98516-9545 | 2016-08-08 |
| 1316287477 | Steven Miles Cadle | Chiropractor | 3775 Martin Way E Ste B2, Olympia, WA 98506-5007 | 2013-02-26 |
| 1508159070 | Taylor Jacob Vanquaethem | Chiropractor | 1645 Cooper Point Rd Sw, Olympia, WA 98502-5735 | 2011-05-17 |
| 1801033865 | Michelle Doyle | Chiropractor | 222 Kenyon St Nw Ste 3, Olympia, WA 98502-4553 | 2009-01-13 |
| 1891976528 | Rosser Chiropractic Ps | Chiropractor | 705 4th Ave E, Olympia, WA 98506-3929 | 2007-11-21 |
| Find all providers in OLYMPIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.