Individual
ERIKA BITTNER MAGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1321 NE 99TH AVE, SUITE 200, PORTLAND, OR 97220-9436
(503) 215-4250
(503) 215-4255
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1015
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500664190
—
OR
Enumeration date
11/22/2006
Last updated
03/22/2021
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