Individual
ALLISON EHRLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 4TH ST, MYRTLE POINT, OR 97458-1066
(541) 572-2111
(541) 572-5743
Mailing address
324 4TH ST, MYRTLE POINT, OR 97458-1066
(541) 572-2111
(541) 572-5743
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA169624
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
GROUP NPI NORTH BEND MEDICAL CENTER
OR
01
—
161133
GROUP DMAP NORTH BEND MEDICAL CENTER
OR
05
—
500676697
—
OR
01
—
P01411693
RAILROAD MEDICARE
OR
01
—
R0000WFBTV
GROUP MEDICARE NORTH BEND MEDICAL CENTER
OR
Enumeration date
03/14/2013
Last updated
03/06/2015
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