Individual ProviderEvan James EvansCounselorBehavioral Health & Social Service ProvidersPractice Address1601 E 4th Plain Blvd, Bldg 17 Ste B222, Vancouver, WA 98661-3713(360) 397-8484PECOS EnrollmentBased on the most recent information from CMS, provider Evan James Evans does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1689021784Provider TypeIndividualFull NameEvans, Evan JamesGenderMaleSole ProprietorNoEnumeration Date5/18/2016Last Updated5/18/2016Contact InformationPractice LocationPractice Address1601 E 4th Plain Blvd, Bldg 17 Ste B222, Vancouver, WA 98661-3713Phone(360) 397-8484Fax(360) 397-8494Mailing LocationMailing AddressPO Box 1845, Vancouver, WA 98668-1845Phone(360) 397-8484Fax(360) 397-8494Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer