Provider Demographics
NPI:1144278862
Name:AURORA MEDICAL SERVICES
Entity type:Organization
Organization Name:AURORA MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:OYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:206-957-0990
Mailing Address - Street 1:1001 BROADWAY
Mailing Address - Street 2:SUITE 320
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-4397
Mailing Address - Country:US
Mailing Address - Phone:206-957-0990
Mailing Address - Fax:206-957-0994
Practice Address - Street 1:1001 BROADWAY
Practice Address - Street 2:SUITE 320
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-4397
Practice Address - Country:US
Practice Address - Phone:206-957-0990
Practice Address - Fax:206-957-0994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8100828Medicaid
WA8126658Medicaid
WA9634122Medicaid
WA8100828Medicaid