Kaitlyn Ruth Eaton, | |
24499 Sw Grahams Ferry Rd, Wilsonville, OR 97070-7523 | |
(503) 570-6648 | |
Not Available |
Full Name | Kaitlyn Ruth Eaton |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 24499 Sw Grahams Ferry Rd, Wilsonville, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043996739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | L11103 (Oregon) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
---|---|
Kaitlyn Ruth Eaton, 8510 N Ivanhoe St Apt 203, Portland, OR 97203-4989 Ph: (503) 320-9274 | Kaitlyn Ruth Eaton, 24499 Sw Grahams Ferry Rd, Wilsonville, OR 97070-7523 Ph: (503) 570-6648 |
Jessica Helen Glasmann, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8800 Sw Vale Ct, Wilsonville, OR 97070 Phone: 541-602-6497 | |
Brenda Evans, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30000 Sw Town Center Loop E, Wilsonville, OR 97070 Phone: 971-666-1259 | |
Ms. Amber Marie Mulvey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11324 Sw Mont Blanc St, Wilsonville, OR 97070 Phone: 503-967-4721 |