Erickson, Ann Gogenola
Erickson, Ann Gogenola is an sole proprietor health care provider with primary practice located at 930 Gara Pl , Astoria OR 97103-5720. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Erickson, Ann Gogenola can be contacted via phone (503) 440-0802.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 013096 | Oregon |
Profile Details
| NPI number | 1528379724 |
|---|---|
| LBN Legal business name | Erickson, Ann Gogenola |
| Credentials | MS, CCCSLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Jun 23rd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528379724 | NPPES |
| Oregon | Other | 013096 | OREGON BOARD OF EXAMINERS |
| Oregon | Other | 01024475 | OREGON BOARD OF EXAMINERS |
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