Individual
ERICA IRONSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E 1ST ST, NEWBERG, OR 97132-2909
(503) 538-4874
Mailing address
2882 NW OVERLOOK DR, APT. 1826, HILLSBORO, OR 97124-7685
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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