Individual
ERIN STORCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
929 SW SIMPSON AVE STE 300, BEND, OR 97702-3599
(541) 389-7741
(541) 278-8375
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(541) 278-4332
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA219169
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2022
Last updated
02/28/2024
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