Provider Demographics
NPI:1154504850
Name:O'REILLY, ERIN M (MSW)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:M
Last Name:O'REILLY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5516 SE 46TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-5748
Mailing Address - Country:US
Mailing Address - Phone:503-318-5878
Mailing Address - Fax:503-200-5550
Practice Address - Street 1:4511 SE CESAR E CHAVEZ BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-3119
Practice Address - Country:US
Practice Address - Phone:503-318-4878
Practice Address - Fax:503-200-5550
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical