Russell L Evans, PA-C
Russell L Evans, PA-C is a Physician Assistant in Lewiston, Idaho. Qualified in 2019, 7 years ago. Practices with Phoenix Radiology, PLLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho, Minnesota and Washington.
- Years since qualifying
- 7
- Licensed in
- ID, MN, WA
- In the registry since
- 2018
- Specialties on file
- 5
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
320 Warner DrLewiston, ID 83501-4441
Phone: (208) 743-3523
Fax: (208) 746-8741
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 415 6th St, Lewiston, Id, Lewiston, ID 83501 — (208) 799-5335
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-1823 (ID) |
|---|---|
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X · Licence 1851871172 (ID) |
| Computed Tomography Radiologic Technologist | Taxonomy 2471C3401X · Licence 408447 (MN) |
| Radiography Radiologic Technologist | Taxonomy 2471C3402X · Licence 408447 (MN) |
| Physician Assistant | Taxonomy 363A00000X · Licence PA61007077 (WA) |
Record details
| NPI number | 1851871172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 16, 2018 |
| Last updated in NPPES | June 3, 2020 |
| Certification date | June 3, 2020 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Phoenix Radiology, Pllc — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Lewiston
-
Dr. John W. Ho, MD
415 6th St, Lewiston, ID 83501-2431 · (208) 750-7445