Provider Demographics
NPI:1578998944
Name:SAKAI, EILEEN M (LMT)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:M
Last Name:SAKAI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:EILEEN
Other - Middle Name:M
Other - Last Name:FOSTER-SAKAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1160 MERLIN CT NW
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-3444
Mailing Address - Country:US
Mailing Address - Phone:503-365-2873
Mailing Address - Fax:
Practice Address - Street 1:1160 MERLIN CT NW
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-3444
Practice Address - Country:US
Practice Address - Phone:503-365-2873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4856247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other