Individual
ADAM JEROME EAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
2838 SE 15TH AVE, PORTLAND, OR 97202-2208
(503) 781-1214
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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