Roger Evenson, LCSW-44535

NPI 1164091559 · on the registry since 2021

Practice

Address: 951 E Plaza Dr Ste 150
Eagle, ID 83616
Phone: (208) 938-2836
Organisation at this address: Renu Medispa
Specialty Labs Pllc
Synergy Health And Wellness
Evolution Joint Pain Clinic
Treasure Valley Metabolic Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101YM0800X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho