Individual
DANIELLE LAURE ERB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1815 SW MARLOW AVE, SUITE 110, PORTLAND, OR 97225-5185
(503) 296-0918
(503) 296-6158
Mailing address
1815 SW MARLOW AVE, SUITE 110, PORTLAND, OR 97225-5185
(503) 296-0918
(503) 296-6158
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD16721
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021191
—
OR
Enumeration date
06/16/2006
Last updated
06/11/2014
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