Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evernorth Care Providers - Delaware PA

Organization Family Medicine Physician · NPI 1700529120

Evernorth Care Providers - Delaware PA is a Family Medicine Physician in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
4
What do these letters mean?
PA — Professional association
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

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Hospice and Palliative Medicine (Family Medicine) Physician Taxonomy 207QH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X

Record details

NPI number1700529120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Lakes — Senior Paralegal · (954) 446-0640
NPI enumeratedApril 14, 2022
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address730 Cool Springs Blvd Ste 500, Franklin, TN 37067-7331

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