Gretchen Leanne Ericson in Medford - Professional
Gretchen Leanne Ericson - NPI 1245348630
Gretchen Leanne Ericson is a Professional in Medford, Oregon. Gretchen Leanne Ericson practices all healthcare services and medical treatments related to Professional. The NPI Number for Gretchen Leanne Ericson is 1245348630. The last update date is 2021-11-19.
Gretchen Leanne Ericson's current location address is 1510 Miracle Lane, Medford, Oregon. You can contact this provider via phone number 5413241255 and fax number 5412272038. The mailing address for Gretchen Leanne Ericson is 1510 Miracle Lane, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gretchen Leanne Ericson |
|---|---|
| Address | 1510 Miracle Lane, Medford, Oregon |
| Phone Number | 5413241255 |
| Fax Number | 5412272038 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1245348630 |
|---|---|
| Provider Enumeration Date | 2006-08-27 |
| Last Updated Date | 2021-11-19 |
Provider Mailing Address Detail
| Address | 1510 Miracle Lane |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 97504 |
| Phone Number | 5413241255 |
| Fax Number | 5412272038 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | C2534 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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What is the unique 10-digit identification code assigned to Gretchen Leanne Ericson by the Centers for Medicare & Medicaid Services?
The Gretchen Leanne Ericson has been issued the NPI (National Provider Identifier) 1245348630, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gretchen Leanne Ericson is physically located?
The Gretchen Leanne Ericson is physically situated at the following address: 1510 Miracle Lane, Medford, OR, 97504.
What is the Gretchen Leanne Ericson's area of specialization and corresponding taxonomy classification?
The Gretchen Leanne Ericson's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1245348630 to Gretchen Leanne Ericson?
The Gretchen Leanne Ericson received its 1245348630 assignment from the Centers for Medicare & Medicaid Services on 2006-08-27.
As of what date were the details related to Gretchen Leanne Ericson most recently updated or revised?
The information pertaining to Gretchen Leanne Ericson, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-19.
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