Individual
MR. JEFFREY LEE ERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2681 EDGEMONT ST SE, ALBANY, OR 97322-8824
(541) 967-0197
Mailing address
2681 EDGEMONT ST SE, ALBANY, OR 97322-8824
(541) 967-0197
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
20014909RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
20014909RN
OR
Other
Enumeration date
02/09/2017
Last updated
02/17/2017
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