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Individual

ERIK MICHAEL RASMUSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
912 NE KELLY AVE, GRESHAM, OR 97030
(503) 258-4600
Mailing address
912 NE KELLY AVE, GRESHAM, OR 97030-5629
(503) 258-4600

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
02944
OR
101Y00000X
Counselor
Primary
171M00000X
Case Manager/Care Coordinator
2221097
OR

Other

Enumeration date
10/28/2008
Last updated
10/25/2023
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