Individual
MRS. ERICA FRANCES LODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT ATC CSCS
Contact information
Practice address
5331 SW MACADAM AVE, SUITE 105, PORTLAND, OR 97239-6104
(503) 445-7999
(503) 445-7997
Mailing address
16827 SCOTT CT, LAKE OSWEGO, OR 97034-5886
(503) 347-0857
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4883
OR
Other
Enumeration date
06/06/2007
Last updated
12/14/2012
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