Susan Ruth Eki in Gresham - Pediatrics

Susan Ruth Eki - NPI 1396947065

Susan Ruth Eki is a Pediatrics in Gresham, Oregon. Susan Ruth Eki practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Ruth Eki is 1396947065. The last update date is 2023-09-13.

Susan Ruth Eki's current location address is 644 Sw Walters Dr, Gresham, Oregon. You can contact this provider via phone number 9718882014 and fax number 9712066387. The mailing address for Susan Ruth Eki is 644 Sw Walters Dr, Gresham, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Ruth Eki
Address 644 Sw Walters Dr, Gresham, Oregon
Phone Number 9718882014
Fax Number 9712066387
Sole Proprietor N
Credentials PMHNP

NPI Number Detail

NPI Number 1396947065
Provider Enumeration Date 2007-06-04
Last Updated Date 2023-09-13

Provider Mailing Address Detail

Address 644 Sw Walters Dr
City Gresham
State Oregon (OR)
Post Code 970809351
Phone Number 9718882014
Fax Number 9712066387

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No 077037817N2
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
077037817N2-PNP OR NURSEPRACTITIONER LICENSE

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FAQs about Susan Ruth Eki

What is the Susan Ruth Eki's 1396947065?

The Susan Ruth Eki's NPI (National Provider Identifier) Number is 1396947065. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Susan Ruth Eki?

The Susan Ruth Eki is physically situated at 644 Sw Walters Dr, in the city of Gresham, state of OR, with the postal code 970809351.

What is the area of specialization for Susan Ruth Eki, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Susan Ruth Eki is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 363Lp0200X.

When did Susan Ruth Eki receive its 1396947065 assignment?

The Susan Ruth Eki was assigned its 1396947065 on 2007-06-04, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Susan Ruth Eki, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Susan Ruth Eki, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-09-13.

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