Alice Audrey Eaton in Wilsonville - Pediatric Emergency Medicine
Alice Audrey Eaton - NPI 1255399333
Alice Audrey Eaton is a Pediatric Emergency Medicine in Wilsonville, Oregon. Alice Audrey Eaton practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Alice Audrey Eaton is 1255399333. The last update date is 2023-06-27.
Alice Audrey Eaton's current location address is 8079 Sw Sacajawea Way, Wilsonville, Oregon. You can contact this provider via phone number 5037842490. The mailing address for Alice Audrey Eaton is 8079 Sw Sacajawea Way, Wilsonville, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alice Audrey Eaton |
|---|---|
| Address | 8079 Sw Sacajawea Way, Wilsonville, Oregon |
| Phone Number | 5037842490 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1255399333 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2023-06-27 |
Provider Mailing Address Detail
| Address | 8079 Sw Sacajawea Way |
|---|---|
| City | Wilsonville |
| State | Oregon (OR) |
| Post Code | 970706428 |
| Phone Number | 5037842490 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | MD 00030157 |
|
Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36181 | OR | -- | |
| 93112982997006A | TRI WEST | ||
| F15106 | OR | PROVIDENCE HEALTH PLAN | |
| 21993008 | OR | BLUE CROSS |
Post Comment/ Review Below
What is the unique identification code assigned to Alice Audrey Eaton by the Centers for Medicare & Medicaid Services?
The Alice Audrey Eaton has been issued the NPI (National Provider Identifier) 1255399333. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Alice Audrey Eaton is located?
The Alice Audrey Eaton is situated at the following address: 8079 Sw Sacajawea Way, Wilsonville, OR, 970706428.
What is the Alice Audrey Eaton's specialty and taxonomy code?
The Alice Audrey Eaton's specialty is Pediatric Emergency Medicine, and the corresponding taxonomy code is 2080P0204X.
On what date did Alice Audrey Eaton receive its 1255399333 assignment from the Centers for Medicare & Medicaid Services?
The Alice Audrey Eaton was assigned its 1255399333 on 2006-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Alice Audrey Eaton last refreshed?
The information related to the Alice Audrey Eaton, including its address, specialty, and other relevant details, was last updated on 2023-06-27.