Provider Demographics
NPI:1013230291
Name:HUTCHINSON, EILEEN ANNE (ND)
Entity Type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:ANNE
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4509 SW VERMONT ST
Mailing Address - Street 2:APT. 201B
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-1048
Mailing Address - Country:US
Mailing Address - Phone:503-245-0236
Mailing Address - Fax:503-245-0236
Practice Address - Street 1:4509 SW VERMONT ST
Practice Address - Street 2:APT. 201B
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-1048
Practice Address - Country:US
Practice Address - Phone:503-245-0236
Practice Address - Fax:503-245-0236
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1725175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath