Idso, Erica Lynn

Idso, Erica Lynn is an individual health care provider with primary practice located at 19 Myrtle St , Medford OR 97504-7337. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Idso, Erica Lynn can be contacted via phone (541) 773-3863.

Contact Information

Primary practice address
19 Myrtle St Medford OR 97504-7337
Phone: (541) 773-3863
Fax: (541) 776-2892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2208 Minnesota

Profile Details

NPI number 1407111925
LBN Legal business name Idso, Erica Lynn
Credentials MS, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2012
Last updated Jul 17th, 2017 - about 9 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.

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