Individual
ERICA LYNN SIMONICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1901 N KILLINGSWORTH ST, PORTLAND, OR 97217-4436
(503) 770-0670
(833) 450-6082
Mailing address
1901 N KILLINGSWORTH ST, PORTLAND, OR 97217-4436
(503) 770-0670
(833) 450-6082
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60577137
WA
363LW0102X
Women's Health Nurse Practitioner
Primary
201400201NP-PP
OR
363LW0102X
Women's Health Nurse Practitioner
721409
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035849
—
WA
05
—
500670034
—
OR
Enumeration date
01/28/2013
Last updated
03/30/2025
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