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Individual

ROBERT JAMES EICHNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1809 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 359-6180
(503) 357-2318
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD12299
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
190488
OR
01
J701099
PACIFIC HS
OR
Enumeration date
06/10/2006
Last updated
04/04/2008
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