Provider Demographics
NPI:1619612116
Name:ERIN A PALMER
Entity Type:Organization
Organization Name:ERIN A PALMER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:ALYSSA
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:503-548-7157
Mailing Address - Street 1:6023 NE HOYT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-4352
Mailing Address - Country:US
Mailing Address - Phone:503-548-7157
Mailing Address - Fax:
Practice Address - Street 1:6023 NE HOYT ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-4352
Practice Address - Country:US
Practice Address - Phone:503-548-7157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health