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Individual

DR. INGRID LORENA ACUNA-EATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
19200 N KELSEY ST, MONROE, WA 98272-1431
(360) 794-7994
(360) 805-4755
Mailing address
PO BOX 3360, PROVIDENCE HEALTH & SERVICES, PORTLAND, OR 97208-3360
(866) 366-2983

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3739
AK
207Q00000X
Family Medicine Physician
Primary
MD60054709
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MD7439
AK
Enumeration date
09/20/2006
Last updated
04/09/2021
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