Provider Demographics
NPI:1033392329
Name:SANTOS, EVA TORSIENDE (RN)
Entity Type:Individual
Prefix:MRS
First Name:EVA
Middle Name:TORSIENDE
Last Name:SANTOS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:EVA
Other - Middle Name:TORSIENDE
Other - Last Name:TOLENTINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:740 NW 180TH AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-4106
Mailing Address - Country:US
Mailing Address - Phone:503-629-0763
Mailing Address - Fax:
Practice Address - Street 1:740 NW 180TH AVE
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-4106
Practice Address - Country:US
Practice Address - Phone:503-629-0763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WD1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD1100XNursing Service ProvidersRegistered NurseDialysis, Peritoneal