Basic Information
| Provider Information | |||||||||
| NPI: | 1881072775 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ACUNA | ||||||||
| FirstName: | ERIKA | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3207 SW PERKINS AVE | ||||||||
| Address2: | |||||||||
| City: | PENDLETON | ||||||||
| State: | OR | ||||||||
| PostalCode: | 978014465 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5412151564 | ||||||||
| FaxNumber: | 5412151567 | ||||||||
| Practice Location | |||||||||
| Address1: | 2730 SW MOODY AVE | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972015042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5034940843 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2015 | ||||||||
| LastUpdateDate: | 09/28/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 179830 | OR | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
No ID Information.