Ethan A Prairie MD

  • NPI 1134749195
According to our database, the NPI number for Ethan A Prairie MD is 1134749195 and activated since 4 years ago. Ethan A Prairie MD is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222. You can also contact Ethan A Prairie MD via telephone number is (503) 513-8950. Provider NPI information was last updated on 04/20/2020.

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Overview of Ethan A Prairie MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/20/2020
  • Last updated: 04/20/2020

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: PG199292
  • License State: OR

Provider Mailing Address

  • Address: Po Box 3158
    Portland, OR 97208
  • Phone: 503-215-6494
  • Fax:

Provider Practice Location

  • Address: 10330 Se 32nd Ave Ste 205
    Milwaukie, OR 97222
  • Phone: 503-513-8950
  • Fax:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ethan A Prairie MD?
  • A: The npi number for Ethan A Prairie MD is 1134749195.
  • Q: What are Ethan A Prairie MD's specialties?
  • A: Ethan A Prairie MD's specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Ethan A Prairie MD?
  • A: The medical license number for Ethan A Prairie MD is PG199292 and issued in OR in USA.
  • Q: Where is Ethan A Prairie MD practice location?
  • A: Ethan A Prairie MD is practicing at 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222.
  • Q: How to contact Ethan A Prairie MD?
  • A: You can contact Ethan A Prairie MD via 503-513-8950.
Medicare Specialty
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