Provider Demographics
NPI:1467565895
Name:SIEGEL, ERIKA (ND LAC)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:
Last Name:SIEGEL
Suffix:
Gender:F
Credentials:ND LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8190 SW CANYON LN
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-3922
Mailing Address - Country:US
Mailing Address - Phone:503-341-7691
Mailing Address - Fax:338-292-6390
Practice Address - Street 1:8190 SW CANYON LN
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-3922
Practice Address - Country:US
Practice Address - Phone:503-341-7691
Practice Address - Fax:833-292-6390
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC00888171100000X
ND27552175F00000X
39357171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist