Individual
ERICA CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 SUZANNE WAY STE 120, EUGENE, OR 97408-7619
(541) 134-5280
(541) 345-4419
Mailing address
2650 SUZANNE WAY STE 200, EUGENE, OR 97408-7619
(541) 345-2800
(541) 345-4419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OR
Enumeration date
10/14/2020
Last updated
08/10/2021
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