# ENTHUSIASTIC PEDIATRICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821843434
- **Authorized official:** ERIN OELKLAUS (OWNER/CEO)
- **Authorized official phone:** (541) 449-7251

## Contact information

- **Practice address:** 81830 MINNOW CREEK RD, LOWELL, OR 97452-9741
- **Practice address phone:** (541) 449-7251
- **Practice address fax:** (541) 543-2263
- **Mailing address:** 81830 MINNOW CREEK RD, LOWELL, OR 97452-9741
- **Mailing address phone:** (541) 449-7251
- **Mailing address fax:** (541) 543-2263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 04/18/2024
- **Last updated:** 04/24/2024