Organization
ERICA M. STAEHLE, LLC
Active
Organization
ERICA M. STAEHLE, LLC
Active
Other names
NorthWest Crossing Chiropractic & Health
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA STAEHLE (OWNER, CHIROPRACTOR)
(503) 975-8556
Entity
Organization
Contact information
Practice address
628 NW YORK DR STE 104, BEND, OR 97701-1572
(541) 388-2429
(541) 388-2439
Mailing address
628 NW YORK DR STE 104, BEND, OR 97701-1572
(541) 388-2429
(541) 388-2439
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1951
OR
111NS0005X
Sports Physician Chiropractor
5104
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366789802
NPI
OR
01
—
1457332371
NPI
OR
Enumeration date
10/09/2014
Last updated
12/08/2022
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