Provider Demographics
NPI:1508408501
Name:OCHSENREITHER, ERICA (MA, ATR, LPC ASSOC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:OCHSENREITHER
Suffix:
Gender:F
Credentials:MA, ATR, LPC ASSOC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4230 SE KING RD UNIT 376
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97222-5259
Mailing Address - Country:US
Mailing Address - Phone:267-275-6603
Mailing Address - Fax:
Practice Address - Street 1:6460 SE LAURA STREET
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97222
Practice Address - Country:US
Practice Address - Phone:267-275-6603
Practice Address - Fax:833-799-3412
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-10
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
ORR7241101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health