Dr. Alice Audrey Eaton
Pediatrician Pediatric Emergency Doctor
18610 Nw Cornell Rd Suite 101
Hillsboro
, Oregon 97124-9206
Dr. Alice Audrey Eaton
Pediatrician Pediatric Emergency Doctor
18610 Nw Cornell Rd Suite 101
Hillsboro
, Oregon 97124-9206
(503) 215-6644
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About
Features
Specialties
- Pediatrician
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Dr. Alice Audrey Eaton
- Po Box 3158
- Portland, OR
- Zip : 97208-3158
- Fax : (503) 215-6644
- Phone : (503) 215-6494
Second Address
- Dr. Alice Audrey Eaton
- 18610 Nw Cornell Rd Suite 101
- Hillsboro, OR
- Zip : 97124-9206
- Phone : (503) 215-9900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | MD 00030157 | WA |
| Y | 208000000X | Pediatrician | MD16709 | OR |
| N | 2080P0204X | Pediatric Emergency Doctor | MD 00030157 | WA |
National Provider Identifier
| NPI | 1255399333 |
|---|---|
| Provider Name | Dr. Alice Audrey Eaton |
| First Address | Portland, OR 97208-3158 |
| Second Address | Hillsboro, OR 97124-9206 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/05/2006 |
| Last Update Date | 19/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 021993008 | BLUE CROSS (01) | OR |
| 036181 | (05) | OR |
| 93112982997006A008 | TRI WEST (01) | |
| F15106 | PROVIDENCE HEALTH PLAN (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.