Provider Demographics
NPI:1346394343
Name:SCHLEICHER, ERIC (LAC)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:SCHLEICHER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4838 NE SANDY BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-2091
Mailing Address - Country:US
Mailing Address - Phone:503-287-1510
Mailing Address - Fax:503-287-1505
Practice Address - Street 1:4838 NE SANDY BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-2091
Practice Address - Country:US
Practice Address - Phone:503-287-1510
Practice Address - Fax:503-287-1505
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00708171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist