Individual
ERIN C O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 N ALBERTA ST, PORTLAND, OR 97217-3602
(503) 914-5229
(503) 200-1241
Mailing address
10303 NE WEIDLER ST, PORTLAND, OR 97220-3882
(503) 914-5229
(503) 200-1241
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
200942828RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201150097NP
OR
Other
Enumeration date
07/08/2011
Last updated
05/19/2020
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