Audra Erickson, Lmt

LBN: Audra Erickson, Lmt
Audra Erickson, Lmt is an health care organization with primary practice located at 4415 Ne Sandy Blvd Ste 207 , Portland OR 97213-1400. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as the primary health care specialty. Audra Erickson, Lmt can be contacted via phone (541) 484-7563, or through Erickson, Audra Gale via phone (541) 484-7563.

Contact Information

Primary practice address
4415 Ne Sandy Blvd Ste 207 Portland OR 97213-1400
Phone: (541) 484-7563
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Erickson, Audra Gale BS, LMT
Phone: (541) 484-7563

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1588149512
LBN Legal business name Audra Erickson, Lmt
DBA Doing business as
Authorized official Erickson, Audra Gale BS, LMT
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2018
Last updated Jan 12th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588149512 NPPES
Oregon Other 21710 LMT

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