Provider Demographics
NPI:1780472951
Name:ALDRIDGE, PAOLA VIVIAN
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:VIVIAN
Last Name:ALDRIDGE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:PAOLA
Other - Middle Name:VIVIAN
Other - Last Name:ALDRIDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2727 MLK JR BLVD
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-5901
Mailing Address - Country:US
Mailing Address - Phone:541-682-2593
Mailing Address - Fax:
Practice Address - Street 1:2727 MLK JR BLVD
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5901
Practice Address - Country:US
Practice Address - Phone:541-682-2593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator