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Individual

MS. ERICA LYNN BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, PMHNP-BC

Contact information

Practice address
436 SE 12TH AVE, PORTLAND, OR 97214-1323
(503) 305-3088
(503) 305-3210
Mailing address
905 SE 14TH AVE, PORTLAND, OR 97214-2569
(503) 622-8964

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201141366RN
OR
171400000X
Health & Wellness Coach
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10058232
OR

Other

Enumeration date
04/07/2022
Last updated
03/11/2026
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