Provider Demographics
NPI:1700298148
Name:DONAHUE, ERIN COLLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:COLLEEN
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11102 SUNRISE BLVD E
Mailing Address - Street 2:SUITE 103
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374
Mailing Address - Country:US
Mailing Address - Phone:253-848-8797
Mailing Address - Fax:253-845-0100
Practice Address - Street 1:1706 S. MERIDIAN
Practice Address - Street 2:SUITE 120
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371
Practice Address - Country:US
Practice Address - Phone:253-848-8797
Practice Address - Fax:253-845-0100
Is Sole Proprietor?:No
Enumeration Date:2014-05-20
Last Update Date:2015-12-15
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Provider Licenses
StateLicense IDTaxonomies
WAMD6057231208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics