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Organization

ERICA D. PRINCE, PHD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERICA D PRINCE PHD (CHAIRMAN)
(541) 753-8684
Entity
Organization

Contact information

Practice address
2945 NW MULKEY AVE, CORVALLIS, OR 97330-1836
(541) 753-8684
(541) 752-0906
Mailing address
2945 NW MULKEY AVE, CORVALLIS, OR 97330-1836
(541) 753-8684
(541) 752-0906

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
01/21/2020
Last updated
01/21/2020
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