Foote, Eric Lee

Foote, Eric Lee is an individual health care provider with primary practice located at 18610 Nw Cornell Rd Ste 101, Hillsboro OR 97124-9206. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Foote, Eric Lee can be contacted via phone (503) 216-9360.

Contact Information

Primary practice address
18610 Nw Cornell Rd Ste 101 Hillsboro OR 97124-9206
Phone: (503) 216-9360
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA01392 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01392 Oregon

Profile Details

NPI number 1245481761
LBN Legal business name Foote, Eric Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2008
Last updated Oct 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245481761 NPPES
Oregon MEDICAID 500629100

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