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Ann Elizabeth Eure

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

This provider is enrolled in PECOS as ANN EURE.

Based on the most recent information from CMS, provider Ann Elizabeth Eure is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1780802801
Provider Type
Individual
Full Name
Eure, Ann Elizabeth
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
4/23/2007
Last Updated
12/14/2021

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-4895

(503) 494-1209

Mailing Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-4895

(503) 494-1209

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA207689 Oregon
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 7537 Arizona

Provider Identifiers

ID	Description	Issuer
ID 005233	Description Medicaid	Issuer Unlisted Arizona
ID 8148322	Description Medicaid	Issuer Unlisted Washington

Ann Elizabeth Eure

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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