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

Mr. Evan Jacobb Dole, PA

Individual provider Physician Assistant · NPI 1780259945

Mr. Evan Jacobb Dole, PA is a Physician Assistant in Coeur D Alene, Idaho. Works from 2 locations. Licensed in Idaho and Washington.

Licensed in
ID, WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (208) 625-4000
Fax: (208) 625-4432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3520 Hwy 8, Deary, ID 83828-0213 — (208) 346-2116

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2181 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA61569778 (WA)

Record details

NPI number1780259945
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 20, 2021
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024

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