Individual
MS. ERICA RUTH BOLLIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SEP, LMT, FNTP, MDIV
Contact information
Practice address
2800 NE 70TH AVE, PORTLAND, OR 97213-5908
(503) 236-9618
Mailing address
2800 NE 70TH AVE, PORTLAND, OR 97213-5908
(503) 236-9618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
133N00000X
Nutritionist
—
—
225700000X
Massage Therapist
5579
OR
Other
Enumeration date
01/21/2022
Last updated
02/11/2022
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