Individual
ERIKA D LA VELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3517 NW SAMARITAN DR STE 100, CORVALLIS, OR 97330-3768
(541) 768-4280
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO177162
OR
208600000X
Surgery Physician
PG158171
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500732270
—
OR
Enumeration date
06/21/2012
Last updated
11/10/2020
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