Individual
GENEVA ANN EAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1200 NW NAITO PKWY SUITE #310, PORTLAND, OR 97209
(503) 292-9200
Mailing address
1200 NW NAITO PKWY SUITE #310, PORTLAND, OR 97209
(503) 292-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
10/29/2024
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