Individual
JESSICA M ERIKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 235-8655
Mailing address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 235-8655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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