Provider Demographics
NPI:1669410486
Name:STIRLING, ERIC LEROY (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:LEROY
Last Name:STIRLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2065 THORNDYKE RD
Mailing Address - Street 2:
Mailing Address - City:PORT LUDLOW
Mailing Address - State:WA
Mailing Address - Zip Code:98365-9531
Mailing Address - Country:US
Mailing Address - Phone:360-531-4244
Mailing Address - Fax:
Practice Address - Street 1:817 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:WA
Practice Address - Zip Code:98826-1316
Practice Address - Country:US
Practice Address - Phone:509-548-5815
Practice Address - Fax:509-584-2510
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA2499207P00000X, 207R00000X
WAMD60191712207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK9717Medicaid
WA2086428Medicaid
WA452300OtherDEPARTMENT OF LABOR & INDUSTRIES