Provider Demographics
NPI:1508060427
Name:PERKIN, SEONAID CAMERON (PT)
Entity Type:Individual
Prefix:MRS
First Name:SEONAID
Middle Name:CAMERON
Last Name:PERKIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2182 ROLAND WAY
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2036
Mailing Address - Country:US
Mailing Address - Phone:541-683-3493
Mailing Address - Fax:
Practice Address - Street 1:2401 RIVER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97404-5414
Practice Address - Country:US
Practice Address - Phone:541-683-6187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3146225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist