Individual
MRS. BONNIE SUE ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
255 NE 6TH AVE, ESTACADA, OR 97023-9719
(503) 630-8515
Mailing address
39344 TRILLIUM ST, SANDY, OR 97055-5399
(503) 267-3003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/24/2007
Last updated
07/11/2020
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