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WILLAMETTE GENERAL & COLON-RECTAL SURGERY PC
NPI 1396736518
Specialist in Tualatin, OR

Active since November 04, 2005
19875 SW 65TH AVE, SUITE 260, TUALATIN, OR 97062(503) 691-1743(503) 691-0983 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Willamette General & Colon-rectal Surgery Pc NPPES

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

WILLAMETTE GENERAL & COLON-RECTAL SURGERY PC (NPI 1396736518) is a healthcare organization registered as a specialist in Tualatin, Oregon and active in the NPI registry since November 2005. The organization lists Brent K Evetts, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1396736518
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWILLAMETTE GENERAL & COLON-RECTAL SURGERY PC
Location Address19875 SW 65TH AVE, SUITE 260Tualatin, OR 97062-8353
Mailing Address19875 Sw 65th Ave, Suite 260Tualatin, OR 97062-8353 · (503) 691-1743 · Fax (503) 691-0983
Phone(503) 691-1743
Fax(503) 691-0983
Authorized OfficialBrent K EvettsOwner/physician · (503) 691-1743
Enumeration DateNovember 4, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396736518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · MD20653
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
19875 SW 65TH AVE, Tualatin, OR 97062
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Other Identifiers 4

Medicare UPING24527OR
Medicare ID-Type Unspecified105002OR
Other1375470OR · United Healthcare
Medicaid150330OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willamette General & Colon-rectal Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Willamette General & Colon-Rectal Surgery PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brent Evetts, M.D.
General Surgery
NPI 1538291547
19875 SW 65TH AVE SUITE 260
Tualatin, OR 97062
(503) 691-1743
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Willamette General & Colon-Rectal Surgery PC's NPI number?

The NPI number for Willamette General & Colon-Rectal Surgery PC is 1396736518. It was assigned to this organization in the NPPES registry on November 4, 2005.

Where is Willamette General & Colon-Rectal Surgery PC located?

Willamette General & Colon-Rectal Surgery PC is located at 19875 SW 65th Ave Suite 260, Tualatin, OR 97062. The listed phone number is (503) 691-1743.

What is Willamette General & Colon-Rectal Surgery PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Willamette General & Colon-Rectal Surgery PC enrolled in Medicare?

Yes. Willamette General & Colon-Rectal Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Willamette General & Colon-Rectal Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Willamette General & Colon-Rectal Surgery PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Willamette General & Colon-Rectal Surgery PC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Willamette General & Colon-Rectal Surgery PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willamette General & Colon-Rectal Surgery PC was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.