Individual
MS. ERICA S.N. TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
5200 SW MACADAM AVE, SUITE 580, PORTLAND, OR 97239-6103
(503) 290-3266
(503) 231-8153
Mailing address
5200 SW MACADAM AVE, SUITE 580, PORTLAND, OR 97239-6103
(503) 290-3266
(503) 231-8153
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2071
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010232139
—
VA
Enumeration date
07/05/2006
Last updated
02/27/2017
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