Individual
ERIN FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCN
Contact information
Practice address
7110 SE RAMONA ST, PORTLAND, OR 97206-5971
(201) 674-6086
Mailing address
7110 SE RAMONA ST, PORTLAND, OR 97206-5971
(201) 674-6086
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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