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EVAN MIKAEL MULTALA MD
NPI 1174375802
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since April 04, 2024PECOS Enrolled
OHSU 3181 SW SAM JACKSON PARK RD. L-579, PORTLAND, OR 97239(503) 494-8311 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evan Mikael Multala Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN MIKAEL MULTALA MD (NPI 1174375802) is an individual student in an organized health care education/training program in Portland, Oregon, licensed in Louisiana (1174375802) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174375802
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEVAN MIKAEL MULTALACredential: MD
Location AddressOHSU 3181 SW SAM JACKSON PARK RD. L-579Portland, OR 97239
Mailing AddressOhsu 3181 Sw Sam Jackson Park Rd. L-579Portland, OR 97239 · (503) 494-8311
Phone(503) 494-8311
Sole ProprietorNo
Enumeration DateApril 4, 2024
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1174375802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in LA · 1174375802
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
OHSU 3181 SW SAM JACKSON PARK RD. L-579, Portland, OR 97239
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evan Mikael Multala Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Multala's NPI number?

The NPI number for Evan Multala is 1174375802. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Evan Multala located?

Evan Multala practices at Ohsu 3181 SW Sam Jackson Park Rd. L-579, Portland, OR 97239. The listed phone number is (503) 494-8311.

What is Evan Multala's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Evan Multala enrolled in Medicare?

Yes. Evan Multala is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Evan Multala was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.