Individual
ERIN ELLA PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17223 SE DIVISION ST, PORTLAND, OR 97236-1240
(503) 760-0778
(503) 760-0753
Mailing address
859 SW 257TH AVE, 147, TROUTDALE, OR 97060-7433
(253) 389-1710
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
17754
OR
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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