OrganizationActive
Evolution Healthcare, Rehab., & Fitness
NPI 1730596511 · Primary Care Clinic/Center · Portland, OR
Provider details
- NPI number
- 1730596511
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brad Farra, Owner(503) 975-6566
- License
- 3851 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2332 Nw Irving St
Portland, OR 97210-3225
Phone: (503) 222-1865
Street-level locationGet directions
Mailing address
4279 Se Harvey St
Milwaukie, OR 97222-5816
Other names (DBA / former)
- Doing business as
- Evolution Healthcare
Registry dates
- Enumerated
- 2014-07-14
- Last updated
- 2014-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.