Individual
ANTHONY THOMAS ERSEPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
500 NE MULTNOMAH ST, PORTLAND, OR 97232-2023
(800) 813-2000
Mailing address
2705 NE JOHN OLSEN AVE APT A9, HILLSBORO, OR 97124-6977
(541) 951-3437
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
202102378CNA
OR
376K00000X
Nurse's Aide
NC61425327
WA
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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