Individual
ERIK W DEPROOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
528 COTTAGE ST NE STE 203, SALEM, OR 97301-3787
(505) 819-7207
Mailing address
3880 CROISAN CREEK RD S, SALEM, OR 97302-9412
(505) 819-7207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2043
NM
225100000X
Physical Therapist
Primary
63984
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72727837
—
NM
Enumeration date
08/11/2005
Last updated
07/22/2024
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