Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Evernorth Care Providers Arizona PC

Organization General Practice Physician · NPI 1538842208

Evernorth Care Providers Arizona PC provides General Practice Physician services in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

121 SW Morrison St Ste 525
Portland, OR 97204-3247
Phone: (773) 292-4800
Fax: (312) 564-4059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1538842208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grace Blue — Credentialing Sr. Manager · (773) 292-4800
NPI enumeratedAugust 9, 2023
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address730 Cool Springs Blvd Ste 500, Franklin, TN 37067-7331

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