Individual
ERICA LYNN PEPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(503) 238-2003
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-22-1965
OR
175T00000X
Peer Specialist
21-CRM-707
OR
175T00000X
Peer Specialist
THW105859
OR
Other
Enumeration date
11/29/2021
Last updated
03/05/2025
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