Provider Demographics
NPI:1467554402
Name:CARRINGTON, ERIN PAIGE (PAC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:PAIGE
Last Name:CARRINGTON
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2847
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97339-2847
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2469 PUU RD STE C
Practice Address - Street 2:
Practice Address - City:KALAHEO
Practice Address - State:HI
Practice Address - Zip Code:96741-8509
Practice Address - Country:US
Practice Address - Phone:808-652-0048
Practice Address - Fax:808-378-4558
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAMD8932080C0008X, 363A00000X
ORPA008342080C0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2080C0008XAllopathic & Osteopathic PhysiciansPediatricsChild Abuse Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
590336Medicare UPIN
117590Medicare PIN