Provider Demographics
NPI:1801857792
Name:AITKEN, SARAH EVELYN (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:EVELYN
Last Name:AITKEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 ALDER ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-4141
Mailing Address - Country:US
Mailing Address - Phone:541-338-3097
Mailing Address - Fax:
Practice Address - Street 1:1755 COBURG RD
Practice Address - Street 2:SUITE #5
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4982
Practice Address - Country:US
Practice Address - Phone:541-484-2911
Practice Address - Fax:541-345-3211
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR092006862N1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR108723Medicare ID - Type Unspecified
ORP24269Medicare UPIN