Chad Evoniuk , LMT
Technician, Other • Salem, OR
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Chad Evoniuk has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Chad Evoniuk, LMT was a registered Technician, Other practicing in Salem, OR. Throughout an active medical career spanning 4 years, Chad Evoniuk provided care at the practice location at 1220 FAIRVIEW AVE SE until profile deactivation on 2019-08-14.
Practice Location & Contact Primary Location
1220 Fairview Ave Se
Salem, OR 973022535
Specialty Benchmarks & Practice Insights
Comparative analytics for Technician, Other in Salem, OR
Practicing in Salem, OR (152 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 247200000X
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Massage Therapist
Licensed Massage Therapist
Career & Practice History Timeline
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Record deactivated on August 14, 2019
NPI status registered as active in NPPES database
Registered at 1220 FAIRVIEW AVE SE, SALEM, OR 973022535 (Tel: 5039494849)
Registered at PO BOX 4694, SALEM, OR 973028694 (Tel: 5039494849)
Recorded as CHAD EVONIUK, LMT
Technician, Other (License #3227 in OR)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 4694
Salem, OR 973028694
Phone: 5039494849
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