Willamette General & Colon-Rectal Surgery PC
NPI 1396736518ActiveOrganization· Specialist· Tualatin, OR
Specialist in Tualatin, Oregon, registered in NPPES in November 2005. The authorized official on file is Brent K. Evetts, M.D., Owner/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396736518 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 4, 2005 |
| Last updated in NPPES | Sep 9, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | MD20653 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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