Individual
ERIN E WAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, DMD
Contact information
Practice address
214 N RUSSELL ST, PORTLAND, OR 97227
(503) 494-6822
Mailing address
214 N RUSSELL ST, PORTLAND, OR 97227-1620
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10844
OR
363LF0000X
Family Nurse Practitioner
201392657NP-PP
OR
Other
Enumeration date
09/24/2013
Last updated
07/31/2018
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