Doctor Name: | MS. MARY ANNETTE ERHART |
NPI Number: | 1023258738 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LISAC, CADC III |
License Number: | 11-R-27 |
Business Practice Address: | 720 Se Washington St Hillsboro, OR - 971234230 |
Business Phone Number: | 9712027880 |
Business Fax Number: | |
Mailing Address: | 7529 N Oswego Ave Apt 4, PORTLAND |
State: | OR |
Postal Code: | 972033169 |
Phone Number: | 5034775311 |
Fax Number: | 9287731774 |
NPI Enumeration Date: | 02/20/2009 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 11-R-27 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |