Individual
MR. ERIC WESLEY EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5845 NE HOYT ST APT 204, PORTLAND, OR 97213-3781
(707) 672-4123
Mailing address
5845 NE HOYT ST APT 204, PORTLAND, OR 97213-3781
(707) 672-4123
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
16627
OR
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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