Provider Demographics
NPI:1689110447
Name:EVANS, SAVANNAH PHILIPS ROSS
Entity type:Individual
Prefix:MRS
First Name:SAVANNAH
Middle Name:PHILIPS ROSS
Last Name:EVANS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:SAVANNAH
Other - Middle Name:PHILIPS
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:119 N ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-4203
Mailing Address - Country:US
Mailing Address - Phone:541-852-7326
Mailing Address - Fax:
Practice Address - Street 1:119 N ADAMS ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-4203
Practice Address - Country:US
Practice Address - Phone:541-852-7326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-17
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist