Provider Demographics
NPI:1700219920
Name:ALYEA, ERIC GORDON (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:GORDON
Last Name:ALYEA
Suffix:
Gender:M
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16259 SYLVESTER RD SW STE 301
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-3059
Mailing Address - Country:US
Mailing Address - Phone:206-965-2710
Mailing Address - Fax:206-965-2729
Practice Address - Street 1:16259 SYLVESTER RD SW STE 301
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-3059
Practice Address - Country:US
Practice Address - Phone:206-965-2710
Practice Address - Fax:206-965-2729
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR6961207X00000X
WAOP60962976207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery