Individual
KRISTEN ERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
(503) 666-2444
Mailing address
304 NE HOOD AVE, GRESHAM, OR 97030-7450
(503) 666-1333
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
13285
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204799231
TAX ID
OR
Enumeration date
05/17/2017
Last updated
07/21/2022
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