Individual
ERICK FREDERICK RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(503) 588-5963
Mailing address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(503) 588-5963
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6459
OR
Other
Enumeration date
07/31/2014
Last updated
12/20/2021
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