Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PO00000496 | WA |
N | 222Z00000X | Podiatrist | PO00000496 | WA |
Y | 213ES0131X | Foot Surgery | PO00000496 | WA |
NPI | 1073691473 |
---|---|
Provider Name | Erin M Orourke |
First Address | Edmonds, WA 98026-8006 |
Second Address | Edmonds, WA 98026-8006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 21/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1001872 | (05) | WA |
1104629 | (05) | WA |
480031927 | MEDICARE RR (01) | WA |
OR5426 | REGENCE RIDER (01) | WA |
U56966 | (02) |