Individual
MRS. ALISON MARIE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA60231781
Contact information
Practice address
918 9TH STREET, WASHOUGAL, WA 98671
(503) 428-1082
Mailing address
918 9TH STREET, WASHOUGAL, WA 98671
(503) 428-1082
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60231781
WA
Other
Enumeration date
08/03/2011
Last updated
03/14/2012
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