Organization
HALE HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANCE ERICKSON N.D. (CO-OWNER)
(503) 765-5265
Entity
Organization
Contact information
Practice address
18813 SW MARTINAZZI AVE, TUALATIN, OR 97062-6807
(503) 765-5265
(503) 765-5265
Mailing address
18813 SW MARTINAZZI AVE, TUALATIN, OR 97062-6807
(503) 765-5265
(503) 765-5265
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1976
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316375439
INDIVIDUAL NPI NUMBER
OR
01
—
1992132906
INDIVIDUAL NPI NUMBER
OR
Enumeration date
11/02/2013
Last updated
12/05/2013
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