Evan Dolgoff, SUDP/T is a
Student In An Organized Health Care Education/training Program based in Vancouver, Washington. Evan Dolgoff is licensed to practice in * (Not Available) (license number ) and his current practice location is
6926 Ne Fourth Plain Blvd, Vancouver, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 993-3000.
NPI number for Evan Dolgoff is 1790482420 and his current mailing address is 6926 Ne Fourth Plain Blvd, Vancouver, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790482420.
Healthcare Provider's Profile
Full Name | Evan Dolgoff |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 6926 Ne Fourth Plain Blvd, Vancouver, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790482420
- Provider Enumeration Date: 02/13/2023
- Last Update Date: 07/27/2023
Medical Identifiers
Medical identifiers for Evan Dolgoff such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790482420 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evan Dolgoff is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Evan Dolgoff, SUDP/T 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 Ph: (360) 993-3000 | Evan Dolgoff, SUDP/T 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7254 Ph: (360) 993-3000 |
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