Individual
MRS. BETH LEANNE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W
Contact information
Practice address
1823 NE 8TH AVE, PORTLAND, OR 97212-3907
(503) 460-2796
(503) 460-3750
Mailing address
1823 NE 8TH AVE, PORTLAND, OR 97212-3907
(503) 460-2796
(503) 460-3750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210418
—
OR
Enumeration date
07/23/2008
Last updated
07/23/2008
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