Organization
BRAIN REHABILITATION MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE LAURE ERB MD (OWNER)
(503) 296-0918
Entity
Organization
Contact information
Practice address
1815 SW MARLOW AVE, 110, PORTLAND, OR 97225-5185
(503) 296-0918
(503) 296-6158
Mailing address
1815 SW MARLOW AVE, 110, PORTLAND, OR 97225-5185
(503) 296-0918
(503) 296-6158
Taxonomy
Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD16721
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021191
—
OR
Enumeration date
05/15/2007
Last updated
09/05/2014
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